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NPI Code Detail

MEDICARE: FAUSAT AKINYEMI

MEDICARE: FAUSAT AKINYEMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1952820821
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAUSAT AKINYEMI
Provider Business Mailing Address
First Line : 116 W 32ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10001-3212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 212-564-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 08/01/2024

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Directions to “ FAUSAT AKINYEMI ” Practice Location

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