OLEG KOTELSKIY D.O. P.C. NPI 1508907510

NPI Information

  • NPI: 1508907510
  • Provider Name: OLEG KOTELSKIY D.O., P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 33D1056542
  • Address: 3816 NOSTRAND AVE
    BROOKLYN, NY
    ZIP 11235
  • Phone: (347) 713-6871

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NPI Details

OLEG KOTELSKIY D.O., P.C. is a family medicine in Brooklyn, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OLEG KOTELSKIY D.O., P.C. NPI is 1508907510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3816 NOSTRAND AVE
BROOKLYN, NY
ZIP 11235-013
Phone: (347) 713-6871
Fax: (347) 713-6946

The provider's authorized official is Oleg Kotelskiy .
The authorized official title is Physician and has the following contact phone number (347) 713-6871.

The CLIA number assigned to this NPI record is 33D1056542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2050591NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12050591OTHERNEW YORKLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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