| Ola Pediatrics Pc | |
|
645 Allerton Ave Bronx NY 10467-7403 | |
| (718) 547-7771 | |
| (718) 547-8091 |
| Full Name | Ola Pediatrics Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 645 Allerton Ave, Bronx, New York |
| Authorized Official Name and Position | Ana Olivero (PRESIDENT) |
| Authorized Official Contact | 7185477771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ola Pediatrics Pc 3032 Corlear Ave First Floor Bronx NY 10463 Ph: (718) 548-4040 | Ola Pediatrics Pc 645 Allerton Ave Bronx NY 10467-7403 Ph: (718) 547-7771 |
| NPI Number | 1982861936 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982861936 | NPI | - | NPPES |
| 01990770 | Medicaid | NY | |
| 146412684 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 211010 (New York) | Primary |
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