NPI 1164994711

Tina O Bolaji

Practitioner Community Health Worker Forest Hills, NY

Practice location

Address: 11835 Queens Blvd, Forest Hills, NY 11375-7200
Phone: (718) 657-7770

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in New York →

Registry record

NPI: 1164994711
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2018
Record last updated: 20 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.