Individual
OLENKA SOPHIA OLESNYCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(973) 255-6286
Mailing address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 754-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2020
Last updated
06/19/2024
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