Individual
BINTU TIAMIYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
997 STAFFORD AVE, STATEN ISLAND, NY 10309-2109
(718) 948-1900
Mailing address
178 AMBOY ST, APT 3A, BROOKLYN, NY 11212-5004
(347) 205-0486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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