Provider Demographics
NPI:1154526531
Name:KARANTONI, OLGA (MD MA)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:KARANTONI
Suffix:
Gender:F
Credentials:MD MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:129 FIR ST
Mailing Address - Street 2:APT B11
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5017
Mailing Address - Country:US
Mailing Address - Phone:718-441-3711
Mailing Address - Fax:
Practice Address - Street 1:754 LEXINGTON AVE
Practice Address - Street 2:KINGSBORO ATC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221
Practice Address - Country:US
Practice Address - Phone:718-453-3200
Practice Address - Fax:718-453-1208
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY239664207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine