Oliva, Stephanie Ann

Oliva, Stephanie Ann is an sole proprietor health care provider with primary practice located at 18969 Us Route 11 Pediatric Associates Of Watertown, Watertown NY 13601-6329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oliva, Stephanie Ann can be contacted via phone (315) 782-4391.

Contact Information

Primary practice address
18969 Us Route 11 Pediatric Associates Of Watertown Watertown NY 13601-6329
Phone: (315) 782-4391
Fax: (315) 782-4387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0116023620 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 275269 New York

Profile Details

NPI number 1437437043
LBN Legal business name Oliva, Stephanie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2011
Last updated Nov 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437437043 NPPES
New York MEDICAID 03987964

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