Olsen, Dean

Olsen, Dean is an sole proprietor health care provider with primary practice located at 4422 3Rd Ave Care Of Emergency Medical Department, Bronx NY 10457-2545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Olsen, Dean can be contacted via phone (718) 960-6103.

Contact Information

Primary practice address
4422 3Rd Ave Care Of Emergency Medical Department Bronx NY 10457-2545
Phone: (718) 960-6103
Fax: (718) 960-6125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 235895 New York
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 235895 New York

Profile Details

NPI number 1841240868
LBN Legal business name Olsen, Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Mar 24th, 2014 - about 11 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 1841240868 NPPES
New York MEDICAID 02691041

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