Provider Demographics
NPI:1669766648
Name:OLEYNIKOVA, YELENA V (RN)
Entity type:Individual
Prefix:MS
First Name:YELENA
Middle Name:V
Last Name:OLEYNIKOVA
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 1:3130 BRIGHTON 6TH ST APT 5I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6906
Mailing Address - Country:US
Mailing Address - Phone:347-603-3498
Mailing Address - Fax:
Practice Address - Street 1:3130 BRIGHTON 6TH ST APT 5I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6906
Practice Address - Country:US
Practice Address - Phone:347-603-3498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641210163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse