Individual
DENNIES OLIVIA GREENIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2097
(718) 245-7580
Mailing address
96 ROECKEL AVE, VALLEY STREAM, NY 11580-3504
(917) 749-1486
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308961-1
NY
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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