Healthcare Provider Details

I. General information

NPI: 1255829123
Provider Name (Legal Business Name): OLIVIA MARIE SEECOF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 34TH ST FL 8
NEW YORK NY
10016-4744
US

IV. Provider business mailing address

160 E 34TH ST FL 8
NEW YORK NY
10016-4744
US

V. Phone/Fax

Practice location:
  • Phone: 212-731-5857
  • Fax: 212-731-5521
Mailing address:
  • Phone: 212-731-5857
  • Fax: 212-731-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number309440
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: