Organization
NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
Active
Other names
NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE OLAMIJULO NP (CEO)
(516) 847-2418
Entity
Organization
Contact information
Practice address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Mailing address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07794407
—
NY
01
—
1609629377
NPI
NY
Enumeration date
08/20/2024
Last updated
01/06/2026
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