Individual
DR. ANTHONY AKINLOYE OLOKUNGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 324-8166
(718) 324-7539
Mailing address
PO BOX 1031, LODI, NJ 07644-7031
(718) 324-8166
(718) 324-7539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015375
NY
225100000X
Physical Therapist
2666
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000073981-B
GHI HMO
NY
05
—
01701817
—
NY
01
—
05714G
GHI MEDICARE
NY
01
—
105663900
DEPT. OF LABOR
NY
01
—
121300P
HIP
NY
01
—
223702012
FIRST HEALTH
NY
01
—
228870
WELLCARE
NY
01
—
2292361
UNITED HEALTH CARE
NY
01
—
6202200
CIGNA
NY
01
—
660533
GHI PPO
NY
01
—
P-11231046
MULTIPLAN
NY
01
—
P00288313
RAILROAD MEDICARE
NY
01
—
PRISM NETWORK
223702012-01
NY
01
—
QP768
BLUE CROSS BLUE SHIELD
NY
Enumeration date
01/22/2007
Last updated
12/14/2011
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