Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 249839 | NY |
NPI | 1003051251 |
---|---|
Provider Name | Dr. Helen Suguitan Oller |
First Address | Jersey City, NJ 07305-3805 |
Second Address | New York, NY 10037-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 02/12/2008 |