Olenko, Evgeny

Olenko, Evgeny is an sole proprietor health care provider with primary practice located at 10537 64Th Ave , Forest Hills NY 11375-1645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Olenko, Evgeny can be contacted via phone (718) 459-0111.

Contact Information

Primary practice address
10537 64Th Ave Forest Hills NY 11375-1645
Phone: (718) 459-0111
Fax: (718) 896-1596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 145218 New York
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 145218 New York

Profile Details

NPI number 1093891079
LBN Legal business name Olenko, Evgeny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 29th, 2008 - about 16 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 1093891079 NPPES
New York MEDICAID 00736250

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