Individual provider · NPI-1
Marina Osmolovsky
Radiologic Technologist · Forest Hills, NY
NPI number1922388735
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1922388735
- Entity type
- Individual (NPI-1)
- Name
- Marina Osmolovsky
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2011
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 40826 | NY | Yes |
| 246Z00000X | Specialist/Technologist, Other | 40826 | NY |
Practice location
11129 Queens BlvdForest Hills, NY 11375-5553
Phone 718-275-8900
Mailing address
111-29 Queens BlvdForest Hills, NY 11375
Phone 718-275-8900
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