Organization
OLP MEDICAL CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA PETRYNA MD (MD/CEO)
(908) 327-1874
Entity
Organization
Contact information
Practice address
2628 BROADWAY APT 15B, NEW YORK, NY 10025-5009
(908) 327-1874
Mailing address
2628 BROADWAY APT 15B, NEW YORK, NY 10025-5009
(908) 327-1874
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
261798
NY
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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