Provider Demographics
NPI:1508464264
Name:YOVCHENKO, OKSANA (RN)
Entity Type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:YOVCHENKO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6295 SAUNDERS ST APT 4N
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1573
Mailing Address - Country:US
Mailing Address - Phone:347-998-5988
Mailing Address - Fax:
Practice Address - Street 1:1811 HONE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1406
Practice Address - Country:US
Practice Address - Phone:516-499-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY706141163W00000X
NY311458363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse