Provider Demographics
NPI:1467291013
Name:SOKOLOWSKA, OLIVIA IRENE (MBA, RD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:IRENE
Last Name:SOKOLOWSKA
Suffix:
Gender:F
Credentials:MBA, RD
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:IRENE
Other - Last Name:BIRLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBA, RD
Mailing Address - Street 1:17 NEW HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1111
Mailing Address - Country:US
Mailing Address - Phone:765-337-2848
Mailing Address - Fax:
Practice Address - Street 1:17 NEW HAMPSHIRE DR
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1111
Practice Address - Country:US
Practice Address - Phone:765-337-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered