Provider Demographics
NPI:1881312726
Name:SARDO, OLENA (NP)
Entity type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:SARDO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:OLENA
Other - Middle Name:
Other - Last Name:KULYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 BARKER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2013
Mailing Address - Country:US
Mailing Address - Phone:716-883-1914
Mailing Address - Fax:716-883-7637
Practice Address - Street 1:1170 MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2380
Practice Address - Country:US
Practice Address - Phone:716-883-1914
Practice Address - Fax:716-883-7637
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022960363LA2100X, 364SP0807X
OHAPRN.CNP.0035486363LP0808X
NY406922363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent