Individual
OLAMIDE TUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042-1005
(855) 201-4988
Mailing address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307804
NY
Other
Enumeration date
08/28/2016
Last updated
03/25/2020
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