Individual
DEBORAH TEMITOPE BANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, RN
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8149
Mailing address
23815 117TH AVE, ELMONT, NY 11003-4010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
746147
NY
363LF0000X
Family Nurse Practitioner
Primary
354385
NY
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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