Individual provider · Type 1 NPI

Olivia J. Brooker

Specialist · Oswego, NY

NPI number 1891670915 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Call (315) 342-9575 Map

Mailing address

22512 Colonial Manor Rd # G7
Watertown, NY 13601-1770

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1782871241 (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 1891670915

Olivia J. Brooker's National Provider Identifier is 1891670915, issued on Aug 7, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oswego, NY. The record was last updated on Aug 7, 2025.