Individual
MR. ROY KONRAD OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
453 BAY RIDGE PKWY, BROOKLYN, NY 11209-2701
(718) 833-0869
(718) 833-0869
Mailing address
453 BAY RIDGE PKWY, BROOKLYN, NY 11209-2701
(718) 833-0869
(718) 833-0869
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02157519
—
NY
Enumeration date
01/23/2007
Last updated
09/01/2011
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