Provider Demographics
NPI:1174643456
Name:LYUDMILA OSLON PEDIATRICS P.C.
Entity Type:Organization
Organization Name:LYUDMILA OSLON PEDIATRICS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-969-4357
Mailing Address - Street 1:15028 UNION TPKE STE 500
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3900
Mailing Address - Country:US
Mailing Address - Phone:718-969-4357
Mailing Address - Fax:
Practice Address - Street 1:15028 UNION TPKE STE 500
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3900
Practice Address - Country:US
Practice Address - Phone:718-969-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty