Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olena Ksovreli Physician PC

Organization Internal Medicine Physician · NPI 1700026911

Olena Ksovreli Physician PC is an Internal Medicine Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6735 Ridge Blvd
Brooklyn, NY 11220-5248
Phone: (718) 745-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 221578 (NY)

Record details

NPI number1700026911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olena Ksovreli — President · (718) 745-1236
NPI enumeratedFebruary 27, 2009
Last updated in NPPESFebruary 27, 2009
Mailing address145 95th St, Brooklyn, NY 11209-7252

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