Olaf Butchma DO PC
Internal Medicine in Flushing, NY. Organization (NPI-2).
NPI number1164054524
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1164054524
- Entity type
- Organization (NPI-2)
- Legal business name
- Olaf Butchma DO PC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Dec 14, 2023
- Last updated
- Dec 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
3617 Parsons BlvdFlushing, NY 11354-5931
Phone 516-697-8387 · Fax 516-365-1476
Mailing address
Po Box 367Manhasset, NY 11030-0367
Phone 516-697-8387 · Fax 516-365-1476
Authorized official
Olaf Butchma
President
5166978387
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