Tyuleneva, Olga

Tyuleneva, Olga is an individual health care provider with primary practice located at 1120 Brighton Beach Ave Unit 1Xz, Brooklyn NY 11235-5572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as her primary health care specialty. Tyuleneva, Olga can be contacted via phone (718) 232-5050.

Contact Information

Primary practice address
1120 Brighton Beach Ave Unit 1Xz Brooklyn NY 11235-5572
Fax: (718) 232-1269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 226635 New York

Profile Details

NPI number 1235123597
LBN Legal business name Tyuleneva, Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 18th, 2011 - 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 1235123597 NPPES
New York MEDICAID 02367251

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