Provider Demographics
NPI:1427358167
Name:IBITOYE, AKINPELU DAVID (LPN)
Entity Type:Individual
Prefix:MR
First Name:AKINPELU
Middle Name:DAVID
Last Name:IBITOYE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 N ELLIOTT PL
Mailing Address - Street 2:APT. 4 G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1044
Mailing Address - Country:US
Mailing Address - Phone:718-541-7987
Mailing Address - Fax:347-529-4346
Practice Address - Street 1:55 N ELLIOTT PL
Practice Address - Street 2:APT. 4 G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1044
Practice Address - Country:US
Practice Address - Phone:718-541-7987
Practice Address - Fax:347-529-4346
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301168164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse