| Olaf Butchma DO PC | |
|
3617 Parsons Blvd Flushing NY 11354-5931 | |
| (516) 697-8387 | |
| (516) 365-1476 |
| Full Name | Olaf Butchma DO PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3617 Parsons Blvd, Flushing, New York |
| Authorized Official Name and Position | Olaf Butchma (PRESIDENT) |
| Authorized Official Contact | 5166978387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olaf Butchma DO PC Po Box 367 Manhasset NY 11030-0367 Ph: (516) 697-8387 | Olaf Butchma DO PC 3617 Parsons Blvd Flushing NY 11354-5931 Ph: (516) 697-8387 |
| NPI Number | 1164054524 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 5597183244 |
|---|---|
| Medicare Enrollment ID | O20200914000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164054524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Rana Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467450759 PECOS PAC ID: 7012800022 Enrollment ID: I20040406000124 |
| Provider Name | Alexander Avram Falkovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760420772 PECOS PAC ID: 6103811450 Enrollment ID: I20040416001103 |
| Provider Name | Regina Massaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235117664 PECOS PAC ID: 2769446525 Enrollment ID: I20041112000338 |
| Provider Name | Olaf Butchma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326037474 PECOS PAC ID: 8022011576 Enrollment ID: I20060823000051 |
| Provider Name | Norman M Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124071824 PECOS PAC ID: 3870591761 Enrollment ID: I20061202000001 |
| Provider Name | Catherine M Nozdrovicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265580625 PECOS PAC ID: 6406858547 Enrollment ID: I20070202000274 |
| Provider Name | Tehmina Naveed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891873691 PECOS PAC ID: 9234233891 Enrollment ID: I20070409000584 |
| Provider Name | Nigel Verasami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548490105 PECOS PAC ID: 2466508296 Enrollment ID: I20090921000484 |
| Provider Name | Maureen J Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235275959 PECOS PAC ID: 4183756547 Enrollment ID: I20100720000869 |
| Provider Name | Steven M Ferrante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730363482 PECOS PAC ID: 4587832506 Enrollment ID: I20110719000201 |
| Provider Name | Kyle R Otto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396918397 PECOS PAC ID: 3274777586 Enrollment ID: I20130926000003 |
| Provider Name | Samantha a Undari-schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912347428 PECOS PAC ID: 5193957413 Enrollment ID: I20140418000705 |
| Provider Name | Robert T Plachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326397878 PECOS PAC ID: 3375849045 Enrollment ID: I20160307000262 |
| Provider Name | Masood Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588921894 PECOS PAC ID: 8628374667 Enrollment ID: I20160317000050 |
| Provider Name | Margaret Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013460351 PECOS PAC ID: 5496034894 Enrollment ID: I20161107002136 |
| Provider Name | Keith R Denis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386014793 PECOS PAC ID: 3678852183 Enrollment ID: I20161125000029 |
| Provider Name | Kyle Venturi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427579051 PECOS PAC ID: 2264706548 Enrollment ID: I20170926000940 |
| Provider Name | Pulat Pulatov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437579166 PECOS PAC ID: 4385901420 Enrollment ID: I20171128003223 |
| Provider Name | Zahida Kabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861807943 PECOS PAC ID: 7315209327 Enrollment ID: I20180402001047 |
| Provider Name | Kenya Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457825705 PECOS PAC ID: 5496093882 Enrollment ID: I20190211000342 |
| Provider Name | Precious Bamawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447549894 PECOS PAC ID: 5294155636 Enrollment ID: I20201023000453 |
| Provider Name | Taryn Marie Denis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720730997 PECOS PAC ID: 3971999608 Enrollment ID: I20220406001453 |
| Provider Name | Paige Deprisco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801548078 PECOS PAC ID: 4587041223 Enrollment ID: I20220518000789 |
| Provider Name | Daniel J Urbanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215689377 PECOS PAC ID: 8123405578 Enrollment ID: I20220524002303 |
| Provider Name | Navpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548967656 PECOS PAC ID: 2860845302 Enrollment ID: I20240131002506 |
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