Provider Demographics
NPI:1578820361
Name:DOKUN, OLANREWAJU (MD)
Entity Type:Individual
Prefix:
First Name:OLANREWAJU
Middle Name:
Last Name:DOKUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:50 E 42ND ST RM 1501B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5423
Mailing Address - Country:US
Mailing Address - Phone:914-365-8601
Mailing Address - Fax:
Practice Address - Street 1:315 MADISON AVENUE
Practice Address - Street 2:SUITE 1501B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5423
Practice Address - Country:US
Practice Address - Phone:929-365-8601
Practice Address - Fax:844-850-6297
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2744592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry