Provider Demographics
NPI:1427431675
Name:OLESKY, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:OLESKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:OLESKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IBCLC
Mailing Address - Street 1:5 PITCH PINE LN
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-5037
Mailing Address - Country:US
Mailing Address - Phone:908-720-7095
Mailing Address - Fax:732-625-9068
Practice Address - Street 1:5 PITCH PINE LN
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-5037
Practice Address - Country:US
Practice Address - Phone:908-720-7095
Practice Address - Fax:732-625-9068
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN