1780222653 NPI number — FOLAKE MOTUNRAYO AWOLOWO

Table of content: FOLAKE MOTUNRAYO AWOLOWO (NPI 1780222653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780222653 NPI number — FOLAKE MOTUNRAYO AWOLOWO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AWOLOWO
Provider First Name:
FOLAKE
Provider Middle Name:
MOTUNRAYO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ADEYEMI
Provider Other First Name:
FOLAKE
Provider Other Middle Name:
MOTUNRAYO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780222653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
456 RALPH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTRAL ISLIP
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11722-1832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
456 RALPH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTRAL ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11722-1832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-728-1912
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  336413 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)