Provider Demographics
NPI:1558676007
Name:OJOFEITIMI, OYINDAMOLA (R N)
Entity Type:Individual
Prefix:MRS
First Name:OYINDAMOLA
Middle Name:
Last Name:OJOFEITIMI
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 EAST 101 STREET, BROOKLYN.
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11236
Mailing Address - Country:US
Mailing Address - Phone:347-737-4926
Mailing Address - Fax:718-341-1133
Practice Address - Street 1:1418 EAST 101 STREET
Practice Address - Street 2:BROOKLYN
Practice Address - City:N Y.
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:347-737-4926
Practice Address - Fax:718-341-1133
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY581810163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse