Individual
JONATHAN OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 PARKVIEW LOOP, STATEN ISLAND, NY 10314-1665
(917) 297-9749
(718) 477-0709
Mailing address
116 PARKVIEW LOOP, STATEN ISLAND, NY 10314-1665
(917) 297-9749
(718) 477-0709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005024-1
NY
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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