Individual
SOLA AZEEZ-TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
498 BAY STREET, STATEN ISLAND, NY 10304-3834
(718) 273-0097
(718) 273-2840
Mailing address
498 BAY STREET, STATEN ISLAND, NY 10304-3834
(718) 273-0097
(718) 273-2840
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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