Individual
RISIKAT OLOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4486
Mailing address
14201 230TH PL, LAURELTON, NY 11413-3619
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402268-1
NY
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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