Provider Demographics
NPI:1962468108
Name:TSEYKO, OLGA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:TSEYKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:127 JAFFREY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3022
Mailing Address - Country:US
Mailing Address - Phone:917-873-7466
Mailing Address - Fax:718-946-7964
Practice Address - Street 1:372 UTICA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5551
Practice Address - Country:US
Practice Address - Phone:347-627-9107
Practice Address - Fax:347-405-9108
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY221645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02173595Medicaid
NY36V291Medicare PIN
NYH47660Medicare UPIN