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NPI Code Detail

MEDICARE: OLAKUNLE O AKINBOBOYE MD MPH

MEDICARE:   OLAKUNLE O AKINBOBOYE  MD MPH
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
1207R00000XInternal Medicine PhysicianNY202443NY

General Provider Information

NPI Number : 1780632844
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLAKUNLE O AKINBOBOYE MD MPH
Provider Business Mailing Address
First Line : PO BOX 29
Second Line :
City : ROSLYN
State : NY
Zip : 11576
Country : US
Telephone Number : 718-949-9400
Fax Number : 718-949-8300
Provider Business Practice Location Address
First Line : 224-14 MERRICK BLVD
Second Line :
City : LAURELTON
State : NY
Zip : 11413
Country : US
Telephone Number : 718-949-9400
Fax Number : 718-949-8300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/22/2008

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Directions to “ OLAKUNLE O AKINBOBOYE MD MPH” Practice Location

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