Most Relevant Information
Provider Data
| NPI Number: | 1003453929 |
| Provider Name: | KELVIN OLIVO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/10/2019 |
| Last Updated: | 07/29/2020 |
Provider Practice Location
579 COURTLANDT AVE
BRONX
NY
104515013
Practice Location Phone/Fax
| Phone: | 7184852100 |
| Fax: |
Provider Mailing Location
579 COURTLANDT AVE
BRONX
NY
104515013
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |