Tiamiyu, Olushola Melanie

Tiamiyu, Olushola Melanie is an individual health care provider with primary practice located at 18613 Jamaica Ave 1St Floor, Hollis NY 11423-2413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tiamiyu, Olushola Melanie can be contacted via phone (404) 307-4981.

Contact Information

Primary practice address
18613 Jamaica Ave 1St Floor Hollis NY 11423-2413
Phone: (404) 307-4981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA95321 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016490 New York

Profile Details

NPI number 1215370697
LBN Legal business name Tiamiyu, Olushola Melanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated Sep 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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