Organization
OLA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA OLIVERO MD (PRESIDENT)
(718) 548-4040
Entity
Organization
Contact information
Practice address
3032 CORLEAR AVE, BRONX, NY 10463-5141
(718) 548-4040
(718) 548-3939
Mailing address
3032 CORLEAR AVE, BRONX, NY 10463-5141
(718) 548-4040
(718) 548-3939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01990770
—
NY
Enumeration date
05/16/2008
Last updated
08/21/2014
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