Individual
CHRISTIANAH FUNMILAYO FALORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 TRANTOR PL APT 3A, STATEN ISLAND, NY 10302-1911
(312) 912-4817
Mailing address
165 TRANTOR PL APT 3A, STATEN ISLAND, NY 10302-1911
(312) 912-4817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
352871
NY
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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