Sybil Ling Olmo, NP | |
6433 Madison St, Ridgewood, NY 11385-4629 | |
(718) 406-1393 | |
Not Available |
Full Name | Sybil Ling Olmo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6433 Madison St, Ridgewood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245914209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0100X | Registered Nurse - Gastroenterology | 711875 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F345574-01 (New York) | Primary |
Entity Name | Weill Medical College Of Cornell |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143815 PECOS PAC ID: 6800709023 Enrollment ID: O20040526000883 |
Mailing Address | Practice Location Address |
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Sybil Ling Olmo, NP 6433 Madison St Fl 1, Ridgewood, NY 11385-4629 Ph: (718) 406-1393 | Sybil Ling Olmo, NP 6433 Madison St, Ridgewood, NY 11385-4629 Ph: (718) 406-1393 |
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