MEDICARE: DANIEL AKANBI

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
1	163W00000X	Registered Nurse	569703	NY

General Provider Information

NPI Number	:	1104079235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL AKANBI

Provider Business Mailing Address
First Line	:	3550 WHITE PLAINS RD
Second Line	:	SUIT 11
City	:	BRONX
State	:	NY
Zip	:	10467-5727
Country	:	US
Telephone Number	:	646-579-5277
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 WHITE PLAINS RD
Second Line	:	SUIT 11
City	:	BRONX
State	:	NY
Zip	:	10467-5727
Country	:	US
Telephone Number	:	646-579-5277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	11/03/2008

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Directions to “ DANIEL AKANBI ” Practice Location

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