Most Relevant Information
Provider Data
| NPI Number: | 1003469552 |
| Provider Name: | OLGA GOLDENBERG FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 344857 |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 06/05/2022 |
Provider Practice Location
2901 216TH ST
BAYSIDE
NY
113602810
Practice Location Phone/Fax
| Phone: | 7182818800 |
| Fax: |
Provider Mailing Location
2901 216TH ST
BAYSIDE
NY
113602810
Provider Mailing Phone/Fax
| Phone: | 7182818800 |
| Fax: |