Porotin, Olga

Porotin, Olga is an individual health care provider with primary practice located at 270 Park Ave , Huntington NY 11743-2787. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Porotin, Olga can be contacted via phone (631) 547-6392.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743-2787
Phone: (631) 547-6392
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5573 New York

Profile Details

NPI number 1205909546
LBN Legal business name Porotin, Olga
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205909546 NPPES
New York MEDICAID 02073852

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