Provider Demographics
NPI:1912328642
Name:BELYY, OLGA (PA)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:
Last Name:BELYY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:OLGA
Other - Middle Name:
Other - Last Name:ZHOVTENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2402 65TH ST APT E5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4160
Mailing Address - Country:US
Mailing Address - Phone:646-620-0340
Mailing Address - Fax:
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:CONEY ISLAND HOSPITAL, DEPARTMENT OF OB/GYN, 8TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-4033
Practice Address - Fax:718-616-4855
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-24
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017253363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant