Individual
EKAETE LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 E 34TH ST, RUSK 607, NEW YORK, NY 10016-4901
(212) 263-5072
Mailing address
400 E 34TH ST, RUSK 607, NEW YORK, NY 10016-4901
(212) 263-5072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336510
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F404051-01
NY
Other
Enumeration date
02/23/2011
Last updated
05/16/2022
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