ADEBUKOLA AINA ADENIRAN


Address: 133 E Main St Ste 1b, Babylon, NY 11702-3517
Phone: 6314829880

ADEBUKOLA AINA ADENIRAN (NPI# 1255689824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255689824
Entity Type Individual
Full Name ADEBUKOLA AINA ADENIRAN
Other Name BUKOLA AINA ADENIRAN
Credential NP
Practice Address 133 E Main St Ste 1b
Babylon
NY 11702-3517
Practice Telephone 6314829880
Practice Fax Number 6314829911
Mailing Telephone 6314829880
Mailing Fax Number 6314829911
Enumeration Date 2012-08-29
Last Update Date 2020-05-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 553296-1 NY Nursing Service Providers
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
306216 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03652600 05

Office Location

Street Address 133 E MAIN ST STE 1B
City BABYLON
State NY
Zip Code 11702-3517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184038085 House Call Nurse Practitioner In Adult Health, Pllc Specialist 133 E Main St Ste 1b, Babylon, NY 11702-3517 2014-06-18

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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City BABYLON
Zip Code 11702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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