Organization
OLIVERA HEALTH GROUP IA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM HOFFMAN (OWNER)
(917) 345-9464
Entity
Organization
Contact information
Practice address
6420 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-1129
(212) 734-6621
Mailing address
199 LEE AVE, BROOKLYN, NY 11211-8919
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
04/03/2024
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