Lillian Oliva-Rasulo

NPI #1760896286 in Tuckahoe, New York

Provider Information

NPI Number: 1760896286
Entity Type: Individual
Name: Lillian Oliva-Rasulo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 14 WESTVIEW AVE
Address 2: APT 209
City: Tuckahoe
State: New York
ZIP Code: 10707-4153
Phone: (914) 439-2383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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