Individual
OLGA GAFTANYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
6 CRONIN BROOK WAY, MILLBURY, MA 01527-3951
(508) 917-8026
(508) 917-8026
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
220561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01529
EVERCARE
MA
05
—
2074389
—
MA
01
—
466255
TUFTS
MA
01
—
J27847
BCBS
MA
01
—
P00289511
RAIL ROAD MEDICARE
MA
Enumeration date
07/01/2006
Last updated
03/03/2016
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