Organization
EFREN OLIVO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFREN OLIVO MD (PRESIDENT)
(845) 623-7800
Entity
Organization
Contact information
Practice address
521 ROUTE 304, BARDONIA, NY 10954-1620
(845) 623-7880
(845) 623-3228
Mailing address
521 ROUTE 304, BARDONIA, NY 10954-1620
(845) 623-7880
(845) 623-3228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
091115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00496011
—
NY
Enumeration date
08/30/2010
Last updated
08/30/2010
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