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Olivia Mary Youssef

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as OLIVIA YOUSSEF.

Based on the most recent information from CMS, provider Olivia Mary Youssef is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1245077965
Provider Type
Individual
Full Name
Youssef, Olivia Mary
Gender
Female

Sole Proprietor
No
Enumeration Date
7/10/2024
Last Updated
7/10/2024

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

63 Longdale St, Staten Island, NY 10314-7216

(347) 854-8783

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Olivia Mary Youssef

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Johnson, Stelin

Tantawi, Nada Sherif

Hanna, Catherine

West, Lara Maria

Herbert, Gabriella Kathleen

Sirisena, Shalini

Yeung, Tszman

Spisak, Jennifer Marie

Paul, Lisa

Lavallee, David Norman