Iyiola Oduekun
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1043654635
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1043654635
- Entity type
- Individual (NPI-1)
- Name
- Iyiola Oduekun
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2013
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 681940 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 313860 | NY | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 403269 | NY |
Practice location
135 W 50th StNew York, NY 10020-1201
Phone 212-582-1900
Mailing address
135 W 50th StNew York, NY 10020-1201
Phone 212-582-1900
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