Lishko, Olga
Lishko, Olga is an sole proprietor health care provider with primary practice located at 25-15 Fair Lawn Ave , Fair Lawn NJ 07410-3434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lishko, Olga can be contacted via phone (201) 475-1005.Contact Information
Primary practice address
25-15 Fair Lawn Ave
Fair Lawn NJ 07410-3434
Phone: (201) 475-1005
Fax: (201) 475-1009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA 67105 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 211137 | New York |
Profile Details
| NPI number | 1710940317 |
|---|---|
| LBN Legal business name | Lishko, Olga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Dec 17th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710940317 | NPPES |
| New Jersey | MEDICAID | 8503705 |
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