Organization
OLA PEDIATRICS PC
Active
Parent organization
OLA PEDIATRICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLA PEDIATRICS PC
Authorized official
DR. ANA OLIVERO MD (PRESIDENT)
(718) 547-7771
Entity
Organization
Contact information
Practice address
645 ALLERTON AVE, BRONX, NY 10467-7403
(718) 547-7771
(718) 547-8091
Mailing address
3032 CORLEAR AVE, FIRST FLOOR, BRONX, NY 10463
(718) 548-4040
(718) 548-3939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
211010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01990770
—
NY
01
—
146412684
NPI
NY
Enumeration date
05/19/2008
Last updated
10/11/2013
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