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General NPI Number Information
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NPI Number | 1528594264
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Entity Type | Individual
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Provider Name | OLUBUNMI AKINSIKA
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Gender | Female
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 501 FRANKLIN AVE HERITAGE NY MEDICAL, PC SUITE140
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City | GARDEN CITY
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State | NY
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Zip | 11530-5807
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Country | US
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Telephone | 516-531-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 864 VAL CT
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City | VALLEY STREAM
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State | NY
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Zip | 11580-1312
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Country | US
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Telephone | 516-476-6316
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306864
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License Number State | NY
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