Individual
MR. OLIVER SANGCAP ILAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC, CCRN-CSC
Contact information
Practice address
ONE GUSTAVE L. LEVY PLACE, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
9031 215TH PL, QUEENS VILLAGE, NY 11428-1229
(718) 740-2971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306974
NY
Other
Enumeration date
03/15/2016
Last updated
09/10/2016
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