Provider Demographics
NPI:1366861783
Name:OLIVETTI, PEDRO RABELO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:RABELO
Last Name:OLIVETTI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:25 ELM PL FL 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5826
Mailing Address - Country:US
Mailing Address - Phone:718-208-1591
Mailing Address - Fax:718-875-5496
Practice Address - Street 1:25 ELM PL FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5826
Practice Address - Country:US
Practice Address - Phone:718-208-1591
Practice Address - Fax:718-875-5496
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2815442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry