Healthcare Provider Details

I. General information

NPI: 1851231575
Provider Name (Legal Business Name): TWILIGHT PEDIATRIC MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 ASBURY RD
FREEVILLE NY
13068-9740
US

IV. Provider business mailing address

440 ASBURY RD
FREEVILLE NY
13068-9740
US

V. Phone/Fax

Practice location:
  • Phone: 607-366-2448
  • Fax: 762-212-4384
Mailing address:
  • Phone: 607-366-2448
  • Fax: 762-212-4384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OLUSOJI OLAKANPO
Title or Position: PEDIATRICIAN
Credential: MD FAAP
Phone: 607-366-2448