Provider Demographics
NPI:1154605467
Name:OLUFAWO, MARGARET OLUFOLAKEMI (RN)
Entity type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:OLUFOLAKEMI
Last Name:OLUFAWO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 HUNTLEY RD
Mailing Address - Street 2:PH
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1407
Mailing Address - Country:US
Mailing Address - Phone:516-902-4298
Mailing Address - Fax:
Practice Address - Street 1:40 HUNTLEY RD
Practice Address - Street 2:PH
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1407
Practice Address - Country:US
Practice Address - Phone:516-902-4298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY438208-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse