Individual
MS. ABIDEMI S AKINKUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042-1005
(855) 201-4988
Mailing address
973 E 221ST ST, BRONX, NY 10469-1015
(347) 425-3971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
623825
NY
363LF0000X
Family Nurse Practitioner
Primary
340118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04437490
—
NY
Enumeration date
11/18/2009
Last updated
04/03/2020
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