Davydova, Olga

Davydova, Olga is an individual health care provider with primary practice located at 9511 63Rd Dr , Rego Park NY 11374-2024. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Davydova, Olga can be contacted via phone (718) 897-0803.

Contact Information

Primary practice address
9511 63Rd Dr Rego Park NY 11374-2024
Phone: (718) 897-0803
Fax: (718) 897-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 046446 New York

Profile Details

NPI number 1750565321
LBN Legal business name Davydova, Olga
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 20th, 2007 - about 17 years ago

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 1750565321 NPPES
New York MEDICAID 02850439

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