person
Jacqueline Olivieri, RPAC
Medical Physician Assistant in Freeport, New York
NPI 1720170061

Jacqueline Olivieri is a Medical Physician Assistant based in Freeport, NY and is specialized in Medical. Jacqueline Olivieri practices in Freeport, NY and has the professional credentials of RPAC. The NPI Number for Jacqueline Olivieri is 1720170061 and holds a License No. 010927 (New York).

The current practice location address for Jacqueline Olivieri is 55 N Main St, Freeport, NY and can be reached out via phone at 516-377-8014 and via fax at 516-377-8017.

Location: 55 N Main St, Freeport, NY, 11520-2243
person
Provider Profile Details
NPI Number
1720170061
Provider Name
Jacqueline Olivieri
Credential
RPAC
Provider Entity Type
Individual
Gender
Female
Address
55 N Main St, Freeport, NY, 11520-2243
Phone Number
516-377-8014
Fax Number
516-377-8017
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010927 01 NY LICENSE #
institution
Provider Business Practice Location Address Details
Address
55 N Main St
City
State
Zip
11520-2243
Phone Number
516-377-8014
Fax Number
516-377-8017
person
Provider Business Mailing Address Details
Address
55 N Main St
City
State
Zip
11520-2243
Phone Number
516-377-8014
Fax Number
516-377-8017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
010927 (New York)
Definition
Definition to come...
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