Olga Davydov

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

13924 Pershing Cres
Briarwood, NY 11435-1949

Phone

(646) 610-3938

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1679298053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13924 PERSHING CRES",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351949",
            "telephone_number": "646-610-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13924 PERSHING CRES",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351949",
            "telephone_number": "646-610-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOV",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Crockett
• Damian Family Care Centers, Inc.
• Lanny Darmawan, MS. ED.
• Julia David, M.D.
• Erica Rochelle Davydov, OTR/L
• Marina Davydova, OD
• Jolonda Cynthia Dennis, MSED
• Usha Devi, RN
• Teresa Ditomaso, M.S.ED
• Wiame Doughri, PHARMD

• Specialist in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.