Provider Demographics
NPI:1922063098
Name:SALU, FOLUKE ONAOLAPO (MD)
Entity Type:Individual
Prefix:
First Name:FOLUKE
Middle Name:ONAOLAPO
Last Name:SALU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FOLUKE
Other - Middle Name:
Other - Last Name:AKINYEMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:259 N MIDDLETOWN RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1220
Mailing Address - Country:US
Mailing Address - Phone:845-624-4057
Mailing Address - Fax:845-624-4059
Practice Address - Street 1:259 N MIDDLETOWN RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1220
Practice Address - Country:US
Practice Address - Phone:845-624-4057
Practice Address - Fax:845-624-4059
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189907207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02358152Medicaid
NY02358152Medicaid
NYF38827Medicare UPIN