Individual
MRS. OMOLARA A OLANIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, FNP, RN
Contact information
Practice address
11156 76TH DR, FOREST HILLS, NY 11375-7057
(347) 356-4434
(718) 544-0972
Mailing address
252 CORABELLE AVE, LODI, NJ 07644-1230
(347) 356-4434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333974-1
NY
Other
Enumeration date
05/21/2008
Last updated
04/19/2018
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