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NPI Code Detail

MEDICARE: MS. SHARAFAT MOTAYO LAWAL R.N

MEDICARE:  MS. SHARAFAT MOTAYO LAWAL  R.N
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
1163WP0808XPsychiatric/Mental Health Registered Nurse508865-1NY

General Provider Information

NPI Number : 1275846859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARAFAT MOTAYO LAWAL R.N
Provider Business Mailing Address
First Line : 245 CHESTER ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5622
Country : US
Telephone Number : 171-346-8082
Fax Number : 171-834-6808
Provider Business Practice Location Address
First Line : 245 CHESTER ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5622
Country : US
Telephone Number : 171-346-8082
Fax Number : 171-834-6808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2010
Last Update Date : 07/23/2010

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