Individual
MARINA OSMOLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11129 QUEENS BLVD, FOREST HILLS, NY 11375-5553
(718) 275-8900
Mailing address
111-29 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 275-8900
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
40826
NY
247100000X
Radiologic Technologist
Primary
40826
NY
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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