Individual
AMUDALAT ADENIKE ASHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
103 NORTHFIELD AVE, STATEN ISLAND, NY 10303-1624
(347) 938-4978
Mailing address
103 NORTHFIELD AVE, STATEN ISLAND, NY 10303-1624
(347) 938-4978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77485
NY
164W00000X
Licensed Practical Nurse
308944
NY
Other
Enumeration date
01/25/2012
Last updated
12/19/2019
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