Provider Demographics
NPI:1275846859
Name:LAWAL, SHARAFAT MOTAYO (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARAFAT
Middle Name:MOTAYO
Last Name:LAWAL
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 1:245 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5622
Mailing Address - Country:US
Mailing Address - Phone:171-346-8082
Mailing Address - Fax:171-834-6808
Practice Address - Street 1:245 CHESTER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5622
Practice Address - Country:US
Practice Address - Phone:171-346-8082
Practice Address - Fax:171-834-6808
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY508865-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health