NPI 1295378461 · live from the CMS NPI Registry
Racheal Olufunke Ajiboye, RN
Registered Nurse, Psych/Mental Health, Adult in Brooklyn, NY. National Provider Identifier 1295378461, active.
NPI record
| NPI | 1295378461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 681 Clarkson Ave, Brooklyn, NY 11203 |
| Practice phone | 718-221-7700 |
| Mailing address | 10415 187th St, Saint Albans, NY 11412 |
| Enumerated | October 21, 2019 |
| Last updated | October 21, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 558887 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.