Olga Antonova
Case Manager/Care Coordinator in Staten Island, NY. Individual provider (NPI-1).
NPI number1164096830
StatusActive
Last updated in NPPESMay 18, 2021
Details
- NPI
- 1164096830
- Entity type
- Individual (NPI-1)
- Name
- Olga Antonova
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2021
- Certification date
- May 18, 2021
- Last updated
- May 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
362 Aspen Knolls WayStaten Island, NY 10312-6639
Phone 718-710-1581
Mailing address
362 Aspen Knolls WayStaten Island, NY 10312-6639
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All 161 Case Manager/Care Coordinator providers in Staten Island · All 15,106 providers in Staten Island
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