Individual
DR. OLIVIA MARIE BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
Mailing address
120 W WALNUT ST, FARMINGDALE, NY 11735-3145
(516) 754-4549
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00293901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
N/A
—
Enumeration date
11/09/2020
Last updated
11/27/2023
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