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Individual

KEHINDE O. IDOWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
650 FULTON ST, 2ND FLOOR, BROOKLYN, NY 11217-1517
(718) 596-9800
(718) 596-9889
Mailing address
737 WOOLLEY AVE, STATEN ISLAND, NY 10314-4240
(718) 761-7756

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
450292
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401037
NY

Other

Enumeration date
09/04/2007
Last updated
03/07/2017
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