DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OMOTAYO FAKORODE

Active Sole Proprietor

OMOTAYO FAKORODE is a Registered Nurse healthcare provider located in STATEN ISLAND, New York. NPI 1902108269 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · STATEN ISLAND, NY

Registration Details

NPI Number
1902108269
Provider Type
Individual
Gender
Female
NPI Issued
Nov 18, 2010 (15.751139197399 yrs)
Last Updated
Jul 30, 2012
Licenses
263598 (NY)
648044 (NY)
Sole Proprietor
Yes

Practice Information

Address
77 FRASER ST
STATEN ISLAND, NY, 103146111
Browse NY providers · Browse ZIP 10314
Phone
7186643438
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in STATEN ISLAND, NY

Name Credential NPI
MR. CONRADO C BERNARDO RN 1669489357
MS. MARY ELIZABETH LISI NP, CNM 1598826711
MAUREEN ONEILL NP 1093866832
MRS. KATHLEEN JORDAN RN 1487791158
MRS. MAUREEN GAVIN RN 1689711350
MRS. SOUNG OK YU RN 1699812370
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.