Olivia Habacon Valid NPI

Individual provider · Pediatrics Physician · Jamaica, NY

NPI

1124102165

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

142245 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-10-25

Last updated

2013-01-18