Provider Demographics
NPI:1316772684
Name:CHARMANT-OLIVIER, ADLETTE (MPA)
Entity type:Individual
Prefix:MRS
First Name:ADLETTE
Middle Name:
Last Name:CHARMANT-OLIVIER
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14352 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5606
Mailing Address - Country:US
Mailing Address - Phone:929-206-3302
Mailing Address - Fax:
Practice Address - Street 1:1165 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7004
Practice Address - Country:US
Practice Address - Phone:646-314-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty