Basic Information
Provider Information
NPI: 1134504392
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUERBUCH
FirstName: OLGA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: NURSE PRACTITIONER
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: NEW YORK METHODIST HOSPITAL
Address2: 506 SIXTH STREET
City: BROOKLYN
State: NY
PostalCode: 11215
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber:  
Practice Location
Address1: NEW YORK METHODIST HOSPITAL
Address2: 506 SIXTH STREET
City: BROOKLYN
State: NY
PostalCode: 11215
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/29/2015
LastUpdateDate: 06/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF339877NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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