Provider Demographics
NPI:1912579640
Name:TOOMEY, OLIVIA JANE
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:JANE
Last Name:TOOMEY
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 1:262 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3809
Mailing Address - Country:US
Mailing Address - Phone:917-589-3394
Mailing Address - Fax:
Practice Address - Street 1:262 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3809
Practice Address - Country:US
Practice Address - Phone:917-589-3394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator