Individual
DR. OLGA LISHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 475-1005
(201) 475-1009
Mailing address
17-17 GREENWOOD DR, FAIR LAWN, NJ 07410-4533
(201) 475-1005
(201) 475-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
211137
NY
207R00000X
Internal Medicine Physician
Primary
MA 67105
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8503705
—
NJ
Enumeration date
04/06/2006
Last updated
12/17/2009
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