SearchNew York163W00000X

Lisa Macedonia Olofson, LICENSED REGISTERED

NPI 1851572812 · on the registry since 2007 · sole proprietor

Practice

Address
9 Corral Lane
East Northport, NY 11731
Phone
(631) 368-0169

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York