NPI: 1548236094 · WEST ISLIP, NY 11795 · Family Medicine Physician · NPI assigned 02/24/2006
| Authorized Official | OSIPOVA, LADA (PRESIDENT) |
| NPI Enumeration Date | 02/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $270.10 |
| 2022 | 51 | $455.67 |
| 2023 | 293 | $3K |
| 2024 | 167 | $1K |