Provider Demographics
NPI:1093540569
Name:PYLYPYUK, OLESYA
Entity type:Individual
Prefix:
First Name:OLESYA
Middle Name:
Last Name:PYLYPYUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 NEPTUNE AVE APT 4L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4408
Mailing Address - Country:US
Mailing Address - Phone:718-844-0785
Mailing Address - Fax:
Practice Address - Street 1:444 NEPTUNE AVE APT 4L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4408
Practice Address - Country:US
Practice Address - Phone:718-844-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty