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Olena Bolotova, MD
Nephrology Physician in East Patchogue, New York
NPI 1417300732

Olena Bolotova is a Nephrology Physician based in Yaphank, NY and is specialized in Nephrology. Olena Bolotova practices in East Patchogue, NY and has the professional credentials of MD. The NPI Number for Olena Bolotova is 1417300732 and holds a License No. (New York).

The current practice location address for Olena Bolotova is 260 Patchogue Yaphank Rd, East Patchogue, NY and can be reached out via phone at 631-654-8755.

Location: 260 Patchogue Yaphank Rd, East Patchogue, NY, 11980-2650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417300732
Provider Name
Olena Bolotova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
260 Patchogue Yaphank Rd, East Patchogue, NY, 11980-2650
Phone Number
631-654-8755
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400268620 01 NY MEDICARE
institution
Provider Business Practice Location Address Details
Address
260 Patchogue Yaphank Rd
City
East Patchogue
State
New York
Zip
11772-4886
Phone Number
631-654-8755
Fax Number
person
Provider Business Mailing Address Details
Address
260 Patchogue Yaphank Rd
City
East Patchogue
State
New York
Zip
11772-4886
Phone Number
631-654-8755
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
311738 (New York)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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