| NPI | 1598133399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOLARA OLANIYI Owner 347-356-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY F333974-1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2018-04-10 |