Basic Information
| Provider Information | |||||||||
| NPI: | 1295268605 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADENIJI | ||||||||
| FirstName: | FOLAKE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 E 241ST ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104701303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186712100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14110 82ND DR APT 736 | ||||||||
| Address2: | |||||||||
| City: | JAMAICA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114351108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9172847089 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2017 | ||||||||
| LastUpdateDate: | 08/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 328131 | NY | N | Nursing Service Providers | Licensed Practical Nurse | 163W00000X | 800134 | NY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.