Oleg Nikolenko, | |
313 E Palmetto Park Rd Apt 807, Boca Raton, FL 33432-5165 | |
(347) 336-9467 | |
Not Available |
Full Name | Oleg Nikolenko |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 313 E Palmetto Park Rd Apt 807, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487229308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT21742 (Florida) | Primary |
Provider Name | New York Physical And Occupational Therapy Services Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356703631 PECOS PAC ID: 6305144775 Enrollment ID: O20160419000323 |
Mailing Address | Practice Location Address |
---|---|
Oleg Nikolenko, 22 N 6th St Apt 9r, Brooklyn, NY 11249-3084 Ph: () - | Oleg Nikolenko, 313 E Palmetto Park Rd Apt 807, Boca Raton, FL 33432-5165 Ph: (347) 336-9467 |
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