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NPI Code Detail

MEDICARE: DR. ANTHONY D OLIVIERI DPM

MEDICARE: DR. ANTHONY D OLIVIERI DPM
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
1213ES0131XFoot Surgery PodiatristNY004952NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600266OTHERNYGHI
2OS340OTHERNYOXFORD

General Provider Information

NPI Number : 1144319864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY D OLIVIERI DPM
Provider Business Mailing Address
First Line : 3371 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-2025
Country : US
Telephone Number : 718-948-4246
Fax Number : 718-948-3591
Provider Business Practice Location Address
First Line : 3371 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-2025
Country : US
Telephone Number : 718-948-4246
Fax Number : 718-948-3591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANTHONY D OLIVIERI DPM” Practice Location

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