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

Mr. Fausat Adenike Adetola

Individual provider Licensed Practical Nurse · NPI 1003061607

Mr. Fausat Adenike Adetola is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

40 W Mosholu Pkwy S Apt 30A
Bronx, NY 10468-1150
Phone: (347) 238-7826
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 293721-1 (NY)

Record details

NPI number1003061607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2008
Last updated in NPPESNovember 24, 2008

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