Provider Demographics
NPI:1013572395
Name:RUBALSKY, OLGA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:RUBALSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:111 EAST 210TH STREET
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY
Mailing Address - City:BRONX, NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-820-4930
Mailing Address - Fax:718-430-3237
Practice Address - Street 1:111 EAST 210TH STREET
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:BRONX, NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-820-4930
Practice Address - Fax:718-430-3237
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program