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Olga Porotin, PA
Surgical Physician Assistant in Huntington, New York
NPI 1205909546

Olga Porotin is a Surgical Physician Assistant based in Huntington, NY and is specialized in Surgical. Olga Porotin practices in Huntington, NY and has the professional credentials of PA. The NPI Number for Olga Porotin is 1205909546 and holds a License No. 5573 (New York).

The current practice location address for Olga Porotin is 270 Park Ave, Huntington, NY and can be reached out via phone at 631-547-6392.

Location: 270 Park Ave, Huntington, NY, 11743-2787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205909546
Provider Name
Olga Porotin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
270 Park Ave, Huntington, NY, 11743-2787
Phone Number
631-547-6392
Fax Number
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02073852 05 NY
institution
Provider Business Practice Location Address Details
Address
270 Park Ave
City
Huntington
State
New York
Zip
11743-2787
Phone Number
631-547-6392
Fax Number
person
Provider Business Mailing Address Details
Address
270 Park Ave
City
Huntington
State
New York
Zip
11743-2787
Phone Number
631-547-6392
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5573 (New York)
Definition
Definition to come...
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