Provider Demographics
NPI:1669916003
Name:IUKALO-TOKARSKI, OLGA
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:IUKALO-TOKARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6293 60TH ST
Mailing Address - Street 2:2R
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2018
Mailing Address - Country:US
Mailing Address - Phone:917-703-5487
Mailing Address - Fax:
Practice Address - Street 1:6293 60TH ST
Practice Address - Street 2:2R
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2018
Practice Address - Country:US
Practice Address - Phone:917-703-5487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-04
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist