Provider Demographics
NPI:1447081757
Name:OLCAY, VANIA
Entity type:Individual
Prefix:
First Name:VANIA
Middle Name:
Last Name:OLCAY
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 1:300 E 33RD ST APT 18H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9421
Mailing Address - Country:US
Mailing Address - Phone:347-881-2563
Mailing Address - Fax:
Practice Address - Street 1:300 E 33RD ST APT 18H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9421
Practice Address - Country:US
Practice Address - Phone:347-881-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0355231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice