Individual
TAIWO A MAJEKODUNMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39 WALES PL, STATEN ISLAND, NY 10310-1639
(347) 596-0297
Mailing address
39 WALES PL, STATEN ISLAND, NY 10310-1639
(347) 596-0297
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
768009-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997157
—
NY
Enumeration date
02/27/2020
Last updated
03/14/2025
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