Individual
MRS. FOLUKE GRACE FASHAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
107 BOTSFORD ST, HEMPSTEAD, NY 11550-7328
(718) 710-7457
(516) 307-9858
Mailing address
107 BOTSFORD ST, HEMPSTEAD, NY 11550-7328
(718) 710-7457
(516) 307-9858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
663572
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
352885
NY
Other
Enumeration date
01/03/2013
Last updated
05/08/2024
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