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Contact Information

PETER J OLIVA, MD
16 DEGRANDPRE WAY
SUITE 100
PLATTSBURGH, NY12901-6451
 Phone: 518-563-5000
 Fax: 518-563-5099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER J OLIVA · (Male)

NPI # 1083600829
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 09/23/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 205708-1
Hospital affiliation(s)
  • CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR - (Acute Care)
    75 BEEKMAN STREET
    PLATTSBURGH, NY 12901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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