Active NPIIndividual providerSole proprietor

Dr. Olga Lishko, MD

Internal Medicine in Fair Lawn, New Jersey

NPI Number1710940317
Practice location
25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434
Fax
201-475-1009
Last updated
December 17, 2009

Olga Lishko is an Internal Medicine based in Fair Lawn, NJ. Olga Lishko practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Olga Lishko is 1710940317 and holds a License No. ma 67105 (NJ). The current practice location address for Olga Lishko is 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434 and can be reached out via phone at 201-475-1005 and via fax at 201-475-1009.

Provider Profile Details

NPI Number
1710940317
Provider Name
Olga Lishko
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434
Phone Number
201-475-1005
Fax Number
201-475-1009
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2006
Last Update Date
December 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
25-15 Fair Lawn Ave
Fair Lawn, NJ 07410-3434
Zip
07410-3434
Phone Number
201-475-1005
Fax Number
201-475-1009
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
17-17 Greenwood Dr
Fair Lawn, NJ 07410-4533
City
Fair Lawn
State
NJ
Zip
07410-4533
Phone Number
201-475-1005
Fax Number
201-475-1009

License Information

License Number (1)
ma 67105
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
211137
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine providers near Fair Lawn, NJ

View all Internal Medicine providers in Fair Lawn →

Frequently Asked Questions

What is the NPI number of Dr. Olga Lishko, MD?

The NPI number of Dr. Olga Lishko, MD is 1710940317. It was assigned on April 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Olga Lishko, MD?

Dr. Olga Lishko, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number ma 67105.

Where does Dr. Olga Lishko, MD practice?

The practice location is 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434. The office can be reached at 201-475-1005 (phone) or 201-475-1009 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710940317 directly on the NPPES registry website.

Browse related providers