Provider Demographics
NPI:1407919574
Name:AKINSULURE-SMITH, ADEYINKA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADEYINKA
Middle Name:
Last Name:AKINSULURE-SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 FIRST AVENUE
Mailing Address - Street 2:BELLEVUE NYU PSOT, BELLEVUE HOSPTIAL CENTER, CD 738
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:212-994-7162
Mailing Address - Fax:212-994-7177
Practice Address - Street 1:462 FIRST AVENUE
Practice Address - Street 2:BELLEVUE NYU PSOT, BELLEVUE HOSPTIAL CENTER, CD 738
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:212-994-7162
Practice Address - Fax:212-994-7177
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013405103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling