Individual
SANDRA OLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9490
Mailing address
376 NEAL DOW AVE, STATEN ISLAND, NY 10314-3168
(347) 661-3196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431193
NY
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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