Individual
FOLASHADE J AKANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8 SULLIVAN AVE, PORT JEFFERSON STATION, NY 11776
(631) 708-7057
Mailing address
8 SULLIVAN AVE, PORT JEFFERSON STATION, NY 11776-3440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332588
NY
Other
Enumeration date
09/06/2006
Last updated
06/12/2019
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