Individual
CATHY LYNNE OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
47 CLARK AVE, BINGHAMTON, NY 13901-1206
(607) 624-3165
Mailing address
47 CLARK AVE, BINGHAMTON, NY 13901-1206
(607) 624-3165
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
188446-1
NY
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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