OLGA KOSICHENKO

STATEN ISLAND, NY
NPI1912765520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F405558-01)
Enumeration Date2024-03-08
Last Update Date2024-03-08
Business Address
OLGA KOSICHENKO PMHNP
29 HOMER ST
STATEN ISLAND, NY 10301-3101
Phone number: 646-643-4492
Mailing Address
OLGA KOSICHENKO PMHNP
29 HOMER ST
STATEN ISLAND, NY 10301-3101
Phone number: 646-643-4492
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