Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimal Life Integrative Health Clinic LLC

Organization Primary Care Nurse Practitioner · NPI 1386475465

Optimal Life Integrative Health Clinic LLC is a Primary Care Nurse Practitioner in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 W 125th St Frnt 1
New York, NY 10027-4444
Phone: (347) 872-9006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1386475465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yusupha Dukureh — Administrator · (347) 849-1576
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 11, 2024
Mailing address105 W 125th St Frnt 1, New York, NY 10027-4444

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