Provider Demographics
NPI:1164455929
Name:OSTROW, OLIVIA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:ANNE
Last Name:OSTROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 W 60TH ST
Mailing Address - Street 2:APT 5W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7497
Mailing Address - Country:US
Mailing Address - Phone:347-266-3452
Mailing Address - Fax:
Practice Address - Street 1:DAVIS AVENUE AT EAST POST ROAD
Practice Address - Street 2:WHITE PLAINS HOSPITAL CENTER
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-2509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240007207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine