Individual
ANGIE OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 CALIFORNIA PL S, ISLAND PARK, NY 11558-2201
(934) 212-9849
Mailing address
94 CALIFORNIA PL S, ISLAND PARK, NY 11558-2201
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
N00757
NY
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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