Provider Demographics
NPI:1801452305
Name:DAWODU, BILIKIS TEMITOPE (RN)
Entity type:Individual
Prefix:
First Name:BILIKIS
Middle Name:TEMITOPE
Last Name:DAWODU
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 1:728 E 233RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3202
Mailing Address - Country:US
Mailing Address - Phone:347-899-8620
Mailing Address - Fax:347-899-8621
Practice Address - Street 1:728 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3202
Practice Address - Country:US
Practice Address - Phone:347-899-8620
Practice Address - Fax:347-899-8621
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY767901163W00000X
NY767901-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse