SearchNew York225700000X

Oleg Polyakov

NPI 1396693685 · on the registry since 2026 · sole proprietor

Practice

Address
873 Broadway
New York, NY 10003
Phone
(917) 596-1443
Organisation at this address
Walgreen Co
James Fowler Pt., Pc
Structural Synergy Physical Therapy Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York