OLIVIA PELLETIER


Address: 241 North Rd, Poughkeepsie, NY 12601-1154
Phone: 8454835000

OLIVIA PELLETIER (NPI# 1356907836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356907836
Entity Type Individual
Full Name OLIVIA PELLETIER
Practice Address 241 North Rd
Poughkeepsie
NY 12601-1154
Mailing Address 19 Bradhurst Ave Ste 3100n
Hawthorne
NY 10532-2140
Practice Telephone 8454835000
Mailing Telephone 9149099018
Mailing Fax Number 9149099028
Enumeration Date 2019-05-10
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS LICENSE 023650 01

Other Providers OLIVIA PELLETIER

NPI Name Taxonomy Address Enumeration
1831715796 Olivia Pelletier Nurse Practitioner 23 North St, Presque Isle, ME 04769-2291 2020-06-17

Office Location

Street Address 241 NORTH RD
City POUGHKEEPSIE
State NY
Zip Code 12601-1154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922006501 Lobsang Lhungay Anesthesiology 241 North Rd, Poughkeepsie, NY 12601-1154 2005-07-08
1457958118 Brian Lucas Kaczmarek Registered Nurse 241 North Rd, Poughkeepsie, NY 12601-1154 2020-10-06
1750988796 Joshua John Foote Registered Nurse 241 North Rd, Poughkeepsie, NY 12601-1154 2020-10-02
1467079681 Kwaku Baidoo Registered Nurse 241 North Rd, Poughkeepsie, NY 12601-1154 2020-07-03
1770106874 Marissa Lyn Campilii Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2020-05-22
1205468642 Scott Peters Registered Nurse 241 North Rd, Poughkeepsie, NY 12601-1154 2020-02-04
1376199463 William Martinez Registered Nurse 241 North Rd, Poughkeepsie, NY 12601-1154 2019-08-14
1710532908 Annmarie Scalzo Nurse Practitioner 241 North Rd, Poughkeepsie, NY 12601-1154 2019-08-05
1568014793 Lauren Davis Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2019-07-09
1235791138 Amanda Mae Frankie Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2019-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348425 Hudson Valley Radiologists, PC Radiology 57 Kingwood Park, Poughkeepsie, NY 12601 2020-05-21
1063049088 Jaquellah Taylor Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 2020-03-27
1053957050 Jasmine Syin-lan Miller Student in an Organized Health Care Education/Training Program 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 2019-11-25
1144864224 Kim Beverly Technician 16 Tamidan Road, Poughkeepsle, NY 12601 2019-11-01
1851852768 Marwa H Abdalla Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 2019-03-26
1619459047 Victoria Bozydaj Occupational Therapy Assistant 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 2018-09-01
1821589953 Avo Gregory Serafino Physician Assistant 228 Donnelly, Poughkeepsie, NY 12601 2018-05-24
1649771486 Raewyn Kalisha Clayton Registered Nurse 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 2018-02-27
1780108761 Ronica Dorothy White Licensed Practical Nurse 7c Muldowney Circle, Poughkeepsie, NY 12601 2017-08-01
1336662048 Ashley Elizabeth Travers Licensed Practical Nurse 100 Innis Ave, Poughkeepsie, NY 12601 2017-07-25
Find all providers in zip 12601

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427664184 Alley Nicole O'farrell Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2020-09-18
1821640392 Daniel Higgins Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2019-07-15
1235791138 Amanda Mae Frankie Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2019-07-01
1780245282 Catherine Gruszecki Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2019-06-25
1902326515 Maggie Lynn Fountain Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601 2017-06-24
1891249686 Janelle Wilkerson Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2016-08-09
1346612744 Amanda Pazian Physician Assistant 1 Columbia St, Poughkeepsie, NY 12601-3923 2015-10-24
1326448754 Jack Tuchman Physician Assistant 241 North Rd, Physician Assistant Services, Poughkeepsie, NY 12601-1154 2014-09-04
1568708451 Elyse Bischof Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2012-12-20
1093829954 Jonathan Londin Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2006-08-18
Find all providers in POUGHKEEPSIE

Competitor

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City POUGHKEEPSIE
Zip Code 12601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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