Individual
MRS. CELIA JOAN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065
(212) 639-2000
Mailing address
475 MAIN STREET, APT 14M, NEW YORK, NY 10044
(631) 603-1040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308224
NY
Other
Enumeration date
07/05/2017
Last updated
05/22/2018
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