SearchNew York363A00000X

Olushola Tiamiyu

NPI 1215370697 · on the registry since 2013

Practice

Address
18613 Jamaica Ave
1st Floor
Hollis, NY 11423
Phone
(404) 307-4981

Additional practice sites

  • 119 Belmont St, Worcester, MA
  • 55 Lake Ave N, Worcester, MA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
MA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York