Individual
OLIVIA SUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
43 MERITORIA DR, EAST WILLISTON, NY 11596-2004
(516) 924-5001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
797136
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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