AYODEJI GRACE OLOKE


Address: 1133 Broadway, Suite 640, New York, NY 10010
Phone: 5163309682

AYODEJI GRACE OLOKE (NPI# 1811502768) 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) 1811502768
Entity Type Individual
Full Name AYODEJI GRACE OLOKE
Practice Address 1133 Broadway, Suite 640
New York
NY 10010
Mailing Address 1503 Wave Ave
Medford
NY 11763-1759
Practice Telephone 5163309682
Mailing Telephone 6312941025
Enumeration Date 2020-09-08
Last Update Date 2020-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1133 BROADWAY, SUITE 640
City NEW YORK
State NY
Zip Code 10010

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10010

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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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