| Giorlan Sososco Olvido, PT | |
|
4020 67th St, Woodside, NY 11377-8525 | |
| (646) 387-0769 | |
| Not Available |
| Full Name | Giorlan Sososco Olvido |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4020 67th St, Woodside, 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 |
|---|---|---|---|
| 1376278234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 046392 (New York) | Primary |
| Provider Name | Professional Occupational & Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
| Provider Name | New York Luna Care Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Giorlan Sososco Olvido, PT 4020 67th St, Woodside, NY 11377-8525 Ph: (646) 387-0769 | Giorlan Sososco Olvido, PT 4020 67th St, Woodside, NY 11377-8525 Ph: (646) 387-0769 |
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