Provider Demographics
NPI:1851979231
Name:HASSAN, AFOLAKE NOFISAT
Entity Type:Individual
Prefix:
First Name:AFOLAKE
Middle Name:NOFISAT
Last Name:HASSAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 BEACH 80TH ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-2005
Mailing Address - Country:US
Mailing Address - Phone:347-701-3924
Mailing Address - Fax:
Practice Address - Street 1:221 BEACH 80TH ST APT 2E
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-2005
Practice Address - Country:US
Practice Address - Phone:347-701-3924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY798953163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse