Individual
LISA B OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
MMC - DEPT. OF OBGYN, 1695 EASTCHESTER ROAD, BRONX, NY 10461
(718) 405-8020
Mailing address
205 READ AVE, TUCKAHOE, NY 10707-2319
(718) 405-8020
(718) 405-8110
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000525
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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