# EFREN OLIVO MD PC

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

## Provider details

- **NPI number:** 1578879490
- **Authorized official:** DR. EFREN OLIVO MD (PRESIDENT)
- **Authorized official phone:** (845) 623-7800

## Contact information

- **Practice address:** 521 ROUTE 304, BARDONIA, NY 10954-1620
- **Practice address phone:** (845) 623-7880
- **Practice address fax:** (845) 623-3228
- **Mailing address:** 521 ROUTE 304, BARDONIA, NY 10954-1620
- **Mailing address phone:** (845) 623-7880
- **Mailing address fax:** (845) 623-3228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 091115 | NY | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 08/30/2010