# OLIVIA MEDICINE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518886415
- **Authorized official:** OLIVIA GIBSON-DELANEY (OWNER)
- **Authorized official phone:** (917) 740-3853

## Contact information

- **Practice address:** 1131 STATE ROUTE 55, LAGRANGEVILLE, NY 12540-5054
- **Practice address phone:** (917) 740-3853
- **Mailing address:** 5308 13TH AVE STE 558, BROOKLYN, NY 11219-5198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084A2900X | Neurocritical Care Physician | — | NULL | — |
| 2084A2900X | Neurocritical Care Physician | — | — | — |
| 2084B0002X | Obesity Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084B0002X | Obesity Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | — |
| 2084E0001X | Epilepsy Physician | — | NULL | — |
| 2084E0001X | Epilepsy Physician | — | — | — |
| 2084P0015X | Psychosomatic Medicine Physician | — | NULL | — |
| 2084P0015X | Psychosomatic Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/14/2026