Individual
OLIVIA EDWIGE DEVILLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4417
(718) 920-8375
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77512
CT
Other
Enumeration date
03/25/2021
Last updated
06/23/2024
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