Provider Demographics
NPI:1801675566
Name:ILORI, ESTHER EBUNOLUWA
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:EBUNOLUWA
Last Name:ILORI
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 1:129 SPRING ST APT 204
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-3672
Mailing Address - Country:US
Mailing Address - Phone:347-262-3690
Mailing Address - Fax:
Practice Address - Street 1:129 SPRING ST APT 204
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3672
Practice Address - Country:US
Practice Address - Phone:347-262-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY90343601163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool