Individual
MRS. ABIMBOLA TAWAKALITU OLUSOJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC SPECIAL ED.
Contact information
Practice address
890 PROSPECT AVE APT 501, BRONX, NY 10459-3981
(347) 458-3664
Mailing address
890 PROSPECT AVE APT 501, BRONX, NY 10459-3981
(347) 458-3664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
730283131
NY
174400000X
Specialist
734917131
NY
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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