Individual provider · Type 1 NPI
Jacqueline Olivo
Specialist · New York, NY
NPI number
1104251891
Active
Practice location
75 Baruch Dr, Apt 6A
New York, NY 10002-3670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 869622 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104251891
Jacqueline Olivo's National Provider Identifier is 1104251891, issued on Sep 12, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Sep 12, 2013.