Individual
MRS. BARBARA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 CINQUE LN, BAYPORT, NY 11705-1215
(631) 472-6634
Mailing address
58 CINQUE LN, BAYPORT, NY 11705-1215
(631) 472-6634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/05/2012
Last updated
07/21/2022
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