Most Relevant Information
Provider Data
| NPI Number: | 1003378852 |
| Provider Name: | OLIVER STANDRING |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 04/02/2019 |
Provider Practice Location
270-05 76TH AVENUE
VICTORIA WRATHE, RESEARCH BUILDING- C LEVEL ROOM 039AB
NEW HYDE PARK
NY
11040
Practice Location Phone/Fax
| Phone: | 7184704475 |
| Fax: |
Provider Mailing Location
270-05 76TH AVENUE
VICTORIA WRATHE, RESEARCH BUILDING- C LEVEL ROOM 039AB
NEW HYDE PARK
NY
11040
Provider Mailing Phone/Fax
| Phone: | 7184704475 |
| Fax: |