Davydova, Olga

Davydova, Olga is an sole proprietor health care provider with primary practice located at 6743 Booth St , Forest Hills NY 11375-2751. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Davydova, Olga can be contacted via phone (718) 896-2323.

Contact Information

Primary practice address
6743 Booth St Forest Hills NY 11375-2751
Fax: (718) 896-2322
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N006578 New York

Profile Details

NPI number 1275806044
LBN Legal business name Davydova, Olga
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275806044 NPPES
New York MEDICAID 03773939

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