Individual
OLIN LEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2291
(315) 541-2001
Mailing address
1009 FRANKLIN ST, WATERTOWN, NY 13601-3833
(315) 489-5112
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
872142
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
872142
NY
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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