Provider Demographics
NPI:1114242567
Name:AKINTUNDE, LOOKMAN (PMHNP)
Entity Type:Individual
Prefix:MR
First Name:LOOKMAN
Middle Name:
Last Name:AKINTUNDE
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 ADEE AVE # 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5117
Mailing Address - Country:US
Mailing Address - Phone:917-528-9382
Mailing Address - Fax:
Practice Address - Street 1:1117 ADEE AVE # 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5117
Practice Address - Country:US
Practice Address - Phone:917-528-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF404319-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health