Individual
OLIVIA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-1268
Mailing address
50 MURRAY ST APT 717, NEW YORK, NY 10007-2263
(423) 967-9636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
308612
NY
Other
Enumeration date
04/10/2015
Last updated
06/09/2021
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