Omotayo Fakorode
Omotayo Fakorode is a Licensed Practical Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
77 Fraser StStaten Island, NY 10314-6111
Phone: (718) 664-3438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 648044 (NY) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence 263598 (NY) |
Record details
| NPI number | 1902108269 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2010 |
| Last updated in NPPES | July 30, 2012 |
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