Individual
OLIVIA RAE JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3440
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
292299
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
292299
NY
Other
Enumeration date
04/27/2015
Last updated
10/21/2024
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