Provider Demographics
NPI:1750778825
Name:ALESHINTSEV, OLGA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:ALESHINTSEV
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SURF AVE
Mailing Address - Street 2:APT 11P
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3450
Mailing Address - Country:US
Mailing Address - Phone:347-440-4431
Mailing Address - Fax:
Practice Address - Street 1:124 BRIGHTON 11TH ST
Practice Address - Street 2:PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5361
Practice Address - Country:US
Practice Address - Phone:718-934-0022
Practice Address - Fax:718-934-1383
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist