OLADUNNI ODEYEMI


Address: 4502 Ditmars Blvd Apt 201, Astoria, NY 11105-1348
Phone: 6173885041

OLADUNNI ODEYEMI (NPI# 1578163879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578163879
Entity Type Individual
Full Name OLADUNNI ODEYEMI
Other Name OLADUNNI OGUNGBESAN
Credential RN
Practice Address 4502 Ditmars Blvd Apt 201
Astoria
NY 11105-1348
Practice Telephone 6173885041
Mailing Telephone 6173885041
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
655434 NY Nursing Service Providers

Office Location

Street Address 4502 DITMARS BLVD APT 201
City ASTORIA
State NY
Zip Code 11105-1348

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City ASTORIA
Zip Code 11105

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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