Olivia Avedissian, RN
Individual provider Active NPI Registered Nurse · Nanuet, NY
NPI 1245029909 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1245029909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 823194 (NY)
- Practice address
- 20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530 - Phone
- (845) 570-3222
- NPI assigned
- May 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823194 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 823194 | NY | Yes |
Addresses
Primary practice location
20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530
Mailing address
20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530
Phone (845) 570-3222
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.