Provider Demographics
NPI:1801250790
Name:AKINDUYI, ADENIKE JOSEPHINE (FNP)
Entity type:Individual
Prefix:MS
First Name:ADENIKE
Middle Name:JOSEPHINE
Last Name:AKINDUYI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 ASHFORD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-7314
Mailing Address - Country:US
Mailing Address - Phone:917-652-2377
Mailing Address - Fax:
Practice Address - Street 1:683 ASHFORD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-7314
Practice Address - Country:US
Practice Address - Phone:917-652-2377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY577670163W00000X
NYF339140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse