Individual
MR. MUSTAPHA OLANIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
400 E MOSHOLU PKWY S APT B5, BRONX, NY 10458-1747
(347) 204-8058
(347) 918-8627
Mailing address
400 E MOSHOLU PKWY S APT B5, BRONX, NY 10458-1747
(347) 204-8058
(347) 918-8627
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
10283502
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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