National Provider Identifier Database

OLENA BOLOTOVA, MD – NPI #1417300732
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

OLENA BOLOTOVA, MD
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY11772-4886
Phone: 631-654-8755
Fax:
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for OLENA BOLOTOVA

NPI Number 1417300732
Credentials MD
Entity Individual
Enumeration date 07/21/2016
Last updated 08/22/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 311738
  • NY Other: A400268620 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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