Individual
ERIC OLIVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4015 81ST ST APT B56, ELMHURST, NY 11373-1346
(718) 505-0499
Mailing address
4015 81ST ST APT B56, ELMHURST, NY 11373-1346
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010203
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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