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NPI Code Detail

MEDICARE: BAMIDELE AKINYEMI

MEDICARE:   BAMIDELE  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
1164W00000XLicensed Practical Nurse316327NY
2164W00000XLicensed Practical Nurse26NP06968200NJ

General Provider Information

NPI Number : 1982035085
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAMIDELE AKINYEMI
Provider Business Mailing Address
First Line : 2027 MERMAID AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2509
Country : US
Telephone Number : 646-399-4174
Fax Number :
Provider Business Practice Location Address
First Line : 2027 MERMAID AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2509
Country : US
Telephone Number : 646-399-4174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2013
Last Update Date : 11/28/2013

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Directions to “ BAMIDELE AKINYEMI ” Practice Location

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