Provider Demographics
NPI:1578520649
Name:FALKOWSKI, OLGA G (MD)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:G
Last Name:FALKOWSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:28 S TERMINAL DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2311
Mailing Address - Country:US
Mailing Address - Phone:516-775-8103
Mailing Address - Fax:516-326-3452
Practice Address - Street 1:28 S TERMINAL DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2311
Practice Address - Country:US
Practice Address - Phone:516-775-8103
Practice Address - Fax:516-326-3452
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4863417207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology