Individual
OLIVE PLHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F383019-01
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383019-01
NY
Other
Enumeration date
12/01/2019
Last updated
03/15/2024
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