Individual
FEHINTOLA ORISAMOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
236 LIVINGSTON ST APT 2G, BROOKLYN, NY 11201-6894
(860) 918-0894
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383119
NY
Other
Enumeration date
08/28/2020
Last updated
08/29/2023
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