Provider Demographics
NPI:1528554037
Name:OLSEN-HOEK, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:OLSEN-HOEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:BAYPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11705-1330
Mailing Address - Country:US
Mailing Address - Phone:631-334-1365
Mailing Address - Fax:
Practice Address - Street 1:445 1ST AVE
Practice Address - Street 2:
Practice Address - City:BAYPORT
Practice Address - State:NY
Practice Address - Zip Code:11705-1330
Practice Address - Country:US
Practice Address - Phone:631-334-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist