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Individual

JEFFREY OLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5 E 98TH ST, 3RD FLOOR, NEW YORK, NY 10029-6501
(212) 241-5586
Mailing address
1 GUSTAVE L LEVY PL, BOX 1030, NEW YORK, NY 10029-6500
(212) 241-9454

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2234951
NY
207RN0300X
Nephrology Physician
Primary
223495
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02288851
NY
Enumeration date
06/30/2006
Last updated
06/02/2008
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