NPI 1174117642 · live from the CMS NPI Registry
Bolanle Adeola Adekoya
Registered Nurse, Gerontology in Central Islip, NY. National Provider Identifier 1174117642, active.
NPI record
| NPI | 1174117642 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 17 Storey Ave, Central Islip, NY 11722 |
| Practice phone | 631-335-4442 |
| Enumerated | February 25, 2021 |
| Last updated | February 25, 2021 |
| Sole proprietor | Yes |
| Other names | Bolanle Adeleye |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology primary | 163WG0600X | 568997-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.