Atinuke Alari Abudu
Individual provider Active NPI Licensed Practical Nurse · Roosevelt, NY
NPI 1942912902 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1942912902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 338390-01 (NY)
- Practice address
- 45 Delisle Ave
Roosevelt, NY 11575-2520 - Phone
- (347) 755-1686
- NPI assigned
- Dec 21, 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 |
|---|---|---|---|
| 338390-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 338390-01 | NY | Yes |
Addresses
Primary practice location
45 Delisle Ave
Roosevelt, NY 11575-2520
Mailing address
45 Delisle Ave
Roosevelt, NY 11575-2520
Phone (347) 755-1686
Other providers in Roosevelt, NY
- Elaine Adams-Borden
- Esther Malka Adler
- Jennifer Albert
- Elizabeth Anne Alfano
- Allegiance Home Health Agency Inc
All providers in Roosevelt, NY · Licensed Practical 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 Dec 21, 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.