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NPI Code Detail

MEDICARE: MICHAEL OLIVERIO, D.O., P.C.

MEDICARE: MICHAEL OLIVERIO, D.O., P.C.
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
1207Q00000XFamily Medicine Physician210665NY

General Provider Information

NPI Number : 1285824953
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL OLIVERIO, D.O., P.C.
Provider Business Mailing Address
First Line : 521 JERUSALEM AVE
Second Line :
City : NORTH BELLMORE
State : NY
Zip : 11710-1832
Country : US
Telephone Number : 516-221-1173
Fax Number :
Provider Business Practice Location Address
First Line : 521 JERUSALEM AVE
Second Line :
City : NORTH BELLMORE
State : NY
Zip : 11710-1832
Country : US
Telephone Number : 516-221-1173
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL OLIVERIO
Credential : DO
Telephone Number : 516-221-1173
Provider Enumeration Date : 07/30/2007
Last Update Date : 01/06/2016

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