Individual
MRS. OLGA IVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1585 E 14TH ST APT 5E, BROOKLYN, NY 11230-7182
(718) 790-0535
Mailing address
1585 E 14TH ST APT 5E, BROOKLYN, NY 11230-7182
(718) 790-0535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
03/06/2025
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