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Organization
TAIWO BABALOLA NP LLC
Active
Organization
TAIWO BABALOLA NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWO BABALOLA (OWNER)
(718) 473-7800
Entity
Organization
Contact information
Practice address
12008 155TH ST FL 1, JAMAICA, NY 11434-2023
(718) 473-7800
Mailing address
12008 155TH ST FL 1, JAMAICA, NY 11434-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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