Individual
SHAKIRAT OTUFALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 1ST ST, ELIZABETHPORT, NJ 07206-1864
(516) 808-9184
Mailing address
239 1ST ST, ELIZABETHPORT, NJ 07206-1864
(516) 808-9184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
862720
NY
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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