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Organization

PHYLLIS OLSHANSKY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHYLLIS MACKLIN OLSHANSKY PHD (PRESIDENT)
(914) 636-8051
Entity
Organization

Contact information

Practice address
60 LAKEVIEW RD, NEW ROCHELLE, NY 10804-2506
(914) 636-8051
(914) 636-6957
Mailing address
60 LAKEVIEW RD, NEW ROCHELLE, NY 10804-2506
(914) 636-8051
(914) 636-6957

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4079

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01653227
NY
Enumeration date
10/17/2009
Last updated
10/17/2009
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  • Eligibility checks
  • EDI platform