Steklova, Olga

Steklova, Olga is an individual health care provider with primary practice located at 21111 Northern Blvd , Bayside NY 11361-3241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Steklova, Olga can be contacted via phone (718) 705-1000.

Contact Information

Primary practice address
21111 Northern Blvd Bayside NY 11361-3241
Fax: (718) 705-1000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 228780 New York

Profile Details

NPI number 1508866195
LBN Legal business name Steklova, Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 20th, 2012 - about 12 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 1508866195 NPPES
New York MEDICAID 02489825

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