Olivieri, Karen L

Olivieri, Karen L is an individual health care provider with primary practice located at 325 Main St , Northport NY 11768-1730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Olivieri, Karen L can be contacted via phone (631) 261-4445.

Contact Information

Primary practice address
325 Main St Northport NY 11768-1730
Phone: (631) 261-4445
Fax: (631) 261-3710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008469 New York

Profile Details

NPI number 1013914514
LBN Legal business name Olivieri, Karen L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 27th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013914514 NPPES
New York Other 4F9081 MEDICARE LEGACY
New York Other 4F9081 MEDICARE LEGACY
New York MEDICAID 02383080 MEDICARE LEGACY

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