Individual
DR. MARY E OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11 RENWICK AVENUE, HUNTINGTON, NY 11743-3044
(631) 421-1248
(631) 421-1249
Mailing address
11 RENWICK AVENUE, HUNTINGTON, NY 11743-3044
(631) 421-1248
(631) 421-1249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0058661
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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