Efren Olivo MD PC
Organization Active NPI Obstetrics & Gynecology Physician · Bardonia, NY
NPI 1578879490 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1578879490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 091115 (NY)
- Legal business name
- EFREN OLIVO MD PC
- Practice address
- 521 Route 304
Bardonia, NY 10954-1620 - Phone
- (845) 623-7880
- Fax
- (845) 623-3228
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Efren Olivo, MD
- Title
- President
- Phone
- (845) 623-7800
National Provider Directory
Locations
521 Route 304
Bardonia, NY 10954
Phone (845) 623-7880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 091115 | NY | Yes |
Addresses
Primary practice location
521 Route 304
Bardonia, NY 10954-1620
Mailing address
521 Route 304
Bardonia, NY 10954-1620
Phone (845) 623-7880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00496011 | Medicaid | NY |
Other providers in Bardonia, NY
- John Anthony Ditizii
- Jephte Durosier
- Rafi Dym
- Earl L. Estwick, DMD, PC
- Charlene Ebner-Rankin
- Frances Erenio
- Earl L Estwick
- Alicia Jasmine Ferdinand
- Mary Friel
- Joseph Anthony Ghabour
All providers in Bardonia, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. 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.