Provider Demographics
NPI:1689230963
Name:OLSZEWSKA, KAROLINA (PT)
Entity Type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:OLSZEWSKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5933
Mailing Address - Country:US
Mailing Address - Phone:347-472-1834
Mailing Address - Fax:347-472-1838
Practice Address - Street 1:6009 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5933
Practice Address - Country:US
Practice Address - Phone:347-472-1834
Practice Address - Fax:347-472-1838
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012027225200000X
NY049699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant