Banjoko, Olubukunola B

Banjoko, Olubukunola B is an sole proprietor health care provider with primary practice located at 18754 87Th Rd , Jamaica NY 11432-2426. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Banjoko, Olubukunola B can be contacted via phone (917) 862-5215.

Contact Information

Primary practice address
18754 87Th Rd Jamaica NY 11432-2426
Phone: (917) 862-5215
Fax: (718) 347-4643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 248693 New York
Nursing Service Providers / Registered Nurse 163W00000X 673906 New York

Profile Details

NPI number 1306973797
LBN Legal business name Banjoko, Olubukunola B
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306973797 NPPES
New York MEDICAID 02193057

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