Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OLUTAYO OLAIDE OLASUPO, MD
Active Sole ProprietorDR. OLUTAYO OLAIDE OLASUPO, MD is a Internal Medicine healthcare provider located in FAR ROCKAWAY, New York. NPI 1114713054 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FAR ROCKAWAY, NY
Registration Details
- NPI Number
- 1114713054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2025 (1.3438423852088 yrs)
- Last Updated
- Apr 17, 2025
- License
-
P128167 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
529 BEACH 20TH STFAR ROCKAWAY, NY, 116913615Browse NY providers · Browse ZIP 11691
- Phone
- 7183277307
- Fax
- 7183273294
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in FAR ROCKAWAY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JULITA G. LUMBAB | M.D. | 1598767188 |
| OBIORA OLISAELOKA ANYOKU | MD | 1225093180 |
| ALEXANDER VAYSMAN | M.D | 1396793113 |
| DR. IRINA NATALENKO | M.D. | 1619925344 |
| DR. DMITRIY ELKIN | M.D. | 1760431761 |
| DR. YOLANDE FRANCES BERNARD | M.D. | 1104878461 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.