Individual
GEORGINA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
48 SUMMIT ST, HICKSVILLE, NY 11801-3355
(347) 564-9112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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