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NPI Code Detail

MEDICARE: DR. CHRYSTYNE OLIVIERI DNP

MEDICARE: DR. CHRYSTYNE OLIVIERI DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WD0400XDiabetes Educator Registered NurseF334603NY
2363L00000XNurse PractitionerF334603NY
3363LF0000XFamily Nurse PractitionerF334603NY

General Provider Information

NPI Number : 1801054226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRYSTYNE OLIVIERI DNP
Provider Business Mailing Address
First Line : 325 MAIN ST STE 2B
Second Line :
City : NORTHPORT
State : NY
Zip : 11768-1790
Country : US
Telephone Number : 631-833-3636
Fax Number : 949-695-3901
Provider Business Practice Location Address
First Line : 325 MAIN ST
Second Line : STE 2B
City : NORTHPORT
State : NY
Zip : 11768-1790
Country : US
Telephone Number : 631-751-2400
Fax Number : 631-751-8323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 11/08/2025

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