Individual provider · Type 1 NPI

Olivia Ann Fertmann

Specialist · Medford, NY

NPI number 1265939904 Active

Practice location

1 Scouting Blvd
Medford, NY 11763-2220

Call (631) 297-3202 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1119585181 (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 1265939904

Olivia Ann Fertmann's National Provider Identifier is 1265939904, issued on Apr 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, NY. The record was last updated on Apr 10, 2018.