Individual
JUAN ANTONIO OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 WHITE ST APT 202, BROOKLYN, NY 11206-3728
(917) 215-0030
Mailing address
5 UNION SQ W FRNT 1, #1191, NEW YORK, NY 10003-0060
(917) 215-0030
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/25/2024
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