OLGA A BURZYANTSEVA (NPI# 1104072586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104072586 |
| Entity Type | Individual |
| Full Name | OLGA A BURZYANTSEVA |
| Credential | M.D. |
| Practice Address |
12510 Queens Blvd Ste 2701 Kew Gardens NY 11415-1519 |
| Mailing Address |
Po Box 9608 Uniondale NY 11555-9608 |
| Practice Telephone | 7182610444 |
| Practice Fax Number | 7182610940 |
| Mailing Telephone | 7182610444 |
| Mailing Fax Number | 7182610940 |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | NY | Other Service Providers | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
271151 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
12510 QUEENS BLVD STE 2701 |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721043 | Marian David, Md, PC | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2005-06-24 |
| 1396262556 | Natalie Yael Abraham | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-28 |
| 1659897973 | Evangelia Pagiazitis | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-17 |
| 1184025785 | Achieved Occupational Therapy Assistant Care, Pllc | Early Intervention Provider Agency | 12510 Queens Blvd, Unit #9a, Kew Gardens, NY 11415-1519 | 2014-09-15 |
| 1366735763 | Peter R Niyazov | Pharmacist | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2011-05-18 |
| 1003049594 | Carrie A. Palmer, LLC | Ophthalmology | 12510 Queens Blvd, Ste. 911, Kew Gardens, NY 11415-1519 | 2009-08-31 |
| 1952549800 | Salim Baghdadi | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2009-01-30 |
| 1447419726 | Raul Luis Vilca | Internal Medicine | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2008-06-03 |
| 1306016969 | Chaim Meir Moeller | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-03-10 |
| 1821279449 | Harold W. Najac, M.d., P.C. | Ophthalmology | 12510 Queens Blvd, Suite 305, Kew Gardens, NY 11415-1519 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447419726 | Raul Luis Vilca | Internal Medicine | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2008-06-03 |
| 1578639373 | Mayer Rydzinski | Internal Medicine | 8002 Kew Gardens Rd, Suite 323, Kew Gardens, NY 11415-3600 | 2006-11-27 |
| 1720090673 | Gerald Pekler | Internal Medicine | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
Please comment or provide details below to improve the information on OLGA A BURZYANTSEVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.