Johntry, Olivia Michelle

Johntry, Olivia Michelle is an individual health care provider with primary practice located at 1500 Waters Pl , Bronx NY 10461-2723. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Johntry, Olivia Michelle can be contacted via phone (929) 348-4492.

Contact Information

Primary practice address
1500 Waters Pl Bronx NY 10461-2723
Phone: (929) 348-4492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1619337011
LBN Legal business name Johntry, Olivia Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2016
Last updated Feb 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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