Individual
GRACE OLAMIJULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Mailing address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345455-01
NY
Other
Enumeration date
03/27/2020
Last updated
01/06/2026
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