Individual
MRS. OLIVIA RENEE HONECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
238 ORISKANY BLVD, WHITESBORO, NY 13492-1540
(315) 768-7181
Mailing address
238 ORISKANY BLVD, WHITESBORO, NY 13492-1540
(315) 768-7181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402025
NY
Other
Enumeration date
07/07/2016
Last updated
11/07/2017
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