Provider Demographics
NPI:1316493562
Name:RINALDI, OLGA
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:RINALDI
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 1:1558 E 19TH ST APT 5H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7277
Mailing Address - Country:US
Mailing Address - Phone:917-406-7531
Mailing Address - Fax:
Practice Address - Street 1:68-60 AUSTIN BOULEVARD
Practice Address - Street 2:306
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-878-4099
Practice Address - Fax:718-880-1978
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator