Individual
MR. ROTIMI TAOFIK OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA/HHA
Contact information
Practice address
2543 BEACH CHANNEL DR # 3, FAR ROCKAWAY, NY 11691-1917
(347) 339-2750
Mailing address
2543 BEACH CHANNEL DR # 3, FAR ROCKAWAY, NY 11691-1917
(347) 339-2750
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
00613392
NY
376K00000X
Nurse's Aide
Primary
343396010413E
NY
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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