TOBA OLUSHOLA OMIDIJI

BROOKLYN, NY
NPI1225552292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F403703-01)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F307838)
Enumeration Date2017-08-01
Last Update Date2022-04-04
Business Address
Mr. TOBA OLUSHOLA OMIDIJI NP
528 ROCKAWAY AVE
BROOKLYN, NY 11212-5625
Phone number: 408-762-1980
Mailing Address
Mr. TOBA OLUSHOLA OMIDIJI NP
528 ROCKAWAY AVE
BROOKLYN, NY 11212-5625
Phone number: