Provider Demographics
NPI:1730729260
Name:DUDNIK, OLGA (RN)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:DUDNIK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:
Other - Last Name:ANDRIUNAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3030 JOHNSON AVE APT 6D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3580
Mailing Address - Country:US
Mailing Address - Phone:201-206-1844
Mailing Address - Fax:
Practice Address - Street 1:3030 JOHNSON AVE APT 6D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3580
Practice Address - Country:US
Practice Address - Phone:201-206-1844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY777368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse