Individual
EDNA EVE OLIVIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5324
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11229
(718) 240-5324
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017321
NY
Other
Enumeration date
12/09/2015
Last updated
01/22/2018
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