Provider Demographics
NPI:1477973212
Name:OSTROVSKY, DMITRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DMITRY
Middle Name:
Last Name:OSTROVSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:477 MADISON AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5827
Mailing Address - Country:US
Mailing Address - Phone:929-552-4112
Mailing Address - Fax:929-299-1589
Practice Address - Street 1:477 MADISON AVE FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5827
Practice Address - Country:US
Practice Address - Phone:929-552-4112
Practice Address - Fax:929-299-1589
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-20
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2913252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry