Provider Demographics
NPI:1255485611
Name:OLIFF, ANDREW HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HENRY
Last Name:OLIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2130 W CENTRAL AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3819
Mailing Address - Country:US
Mailing Address - Phone:631-265-1874
Mailing Address - Fax:
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-3659
Practice Address - Fax:718-780-3673
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY215916207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI40403Medicare UPIN