Provider Demographics
NPI:1215950563
Name:OSTROVSKAYA, ALLA (MD PHD)
Entity type:Individual
Prefix:
First Name:ALLA
Middle Name:
Last Name:OSTROVSKAYA
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:451 CLARKSON AV
Mailing Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-245-5209
Mailing Address - Fax:718-245-5633
Practice Address - Street 1:451 CLARKSON AV
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-5209
Practice Address - Fax:718-245-5633
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2001072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry