Dr. Peter J Oliva
Plastic and Reconstructive Surgery
16 Degrandpre Way Suite 100
Plattsburgh
, New York 12901-6451
Dr. Peter J Oliva
Plastic and Reconstructive Surgery
16 Degrandpre Way Suite 100
Plattsburgh
, New York 12901-6451
(518) 563-5099
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Peter J Oliva
- 16 Degrandpre Way Suite 100
- Plattsburgh, NY
- Zip : 12901-6451
- Fax : (518) 563-5099
- Phone : (518) 563-5000
Second Address
- Dr. Peter J Oliva
- 16 Degrandpre Way Suite 100
- Plattsburgh, NY
- Zip : 12901-6451
- Fax : (518) 563-5099
- Phone : (518) 563-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 205708-1 | NY |
National Provider Identifier
| NPI | 1083600829 |
|---|---|
| Provider Name | Dr. Peter J Oliva |
| First Address | Plattsburgh, NY 12901-6451 |
| Second Address | Plattsburgh, NY 12901-6451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 23/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G47224 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.