Organization
FAMILY FIRST NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOLARA OLANIYI NP (OWNER)
(347) 356-4434
Entity
Organization
Contact information
Practice address
11156 76TH DR STE UL1, FOREST HILLS, NY 11375-7029
(347) 356-4434
(973) 779-1696
Mailing address
11156 76TH DR STE UL1, FOREST HILLS, NY 11375-7029
(347) 356-4434
(973) 779-1696
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F333974-1
NY
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023275575
HIPPA
NY
Enumeration date
09/10/2015
Last updated
04/10/2018
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