Afolasade Adeniyi
Individual provider Active NPI Medical-Surgical Registered Nurse · Elmont, NY
NPI 1043944366 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1043944366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 659283 (NY)
- Practice address
- 201 Butler Blvd
Elmont, NY 11003-2514 - Phone
- (347) 866-3780
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659283 | NY | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 659283 | NY | Yes |
Addresses
Primary practice location
201 Butler Blvd
Elmont, NY 11003-2514
Mailing address
201 Butler Blvd
Elmont, NY 11003-2514
Phone (347) 866-3780
Other providers in Elmont, NY
- Jenny Gloria Acevedo
- Akwasi Afriyie Achampong
- Danielle Addonizio
- Christine Ade
- Funmilola Funke Ademokun
- Fatimat Bintu Funke Adenlola
- Adeyemi Olapeju Physical Therapy PLLC
- Mujeedat Olapeju Adeyemi
- Advanced Medical Supplies
- Advantage Optix, Inc.
All providers in Elmont, NY · Medical-Surgical Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.