Doctor Name: | DR. FUNMILAYO OLABIMPE OLUFUNMILAYO |
NPI Number: | 1194950170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 294780 |
Business Practice Address: | 82-68 164th St Jamaica, NY - 114321121 |
Business Phone Number: | 7188833225 |
Business Fax Number: | 7188836193 |
Mailing Address: | 79-01 Broadway, Managed Care, D1-01 ELMHURST |
State: | NY |
Postal Code: | 113731329 |
Phone Number: | 7183341921 |
Fax Number: | 7183343432 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 294780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |