Provider Demographics
NPI:1821277534
Name:AKINYOMBO, PATRICIA ROBIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ROBIN
Last Name:AKINYOMBO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BALFOUR DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4819
Mailing Address - Country:US
Mailing Address - Phone:845-489-4726
Mailing Address - Fax:
Practice Address - Street 1:66 BALFOUR DR
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4819
Practice Address - Country:US
Practice Address - Phone:845-489-4726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312453163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02039518Medicaid