OLEG VICTOROVICH EVGENOV

NEW YORK UNIVERSITY

Dr OLEG VICTOROVICH EVGENOV is a male medical professional, specializing in Anesthesiology. He graduated in 1993.

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NEW YORK UNIVERSITY

530 1ST AVE
NEW YORK
NY
100166402

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OLEG VICTOROVICH EVGENOV Information

Npi 1154441749
Pac Id 2062537640
Professional Enrollment Id I20190321000651
Last Name EVGENOV
First Name OLEG
Middle Name VICTOROVICH
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1993
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NEW YORK UNIVERSITY
Group Practice Pac Id 1355232422
Number Of Group Practice Members 3098
Line 1 Street Address 530 1ST AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City NEW YORK
State NY
Zip Code 100166402
Phone Number
Hospital Affiliation Ccn 1 330214
Hospital Affiliation Lbn 1 NEW YORK UNIVERSITY LANGONE MEDICAL CENTER
Hospital Affiliation Ccn 2 220071
Hospital Affiliation Lbn 2 MASSACHUSETTS GENERAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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