Individual
OLUWAROTIMI ABORISADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11917 202ND ST, SAINT ALBANS, NY 11412-3815
(347) 567-6635
Mailing address
11917 202ND ST, SAINT ALBANS, NY 11412-3815
(347) 567-6635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR25007100
NJ
163W00000X
Registered Nurse
743164
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ15447700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407831
NY
Other
Enumeration date
04/13/2020
Last updated
12/04/2025
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