Individual
AKINTUNDE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N
Contact information
Practice address
31 HOLLAND AVE, STATEN ISLAND, NY 10303-1203
(347) 729-6175
Mailing address
31 HOLLAND AVE, STATEN ISLAND, NY 10303-1203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300719-1
NY
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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