Individual provider · Type 1 NPI
Ivan Y. Olesh
Student in an Organized Health Care Education/Training Program · Camillus, NY
NPI number
1215565668
Active
Practice location
3399 Warners Rd
Camillus, NY 13031-9649
Other practice locations
- 4417 Vestal Pkwy E, Vestal, NY 13850 · (607) 763-6580
- 30 Harrison St, Ste 250, Johnson City, NY 13790 · (607) 763-6580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 025978 (NY) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Camillus
About NPI 1215565668
Ivan Y. Olesh's National Provider Identifier is 1215565668, issued on Mar 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camillus, NY. The record was last updated on Dec 11, 2025.