Provider Demographics
NPI:1154969442
Name:ALIMI, TEMITOPE DORCAS
Entity type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:DORCAS
Last Name:ALIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 SEDGWICK AVE APT 4D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-2765
Mailing Address - Country:US
Mailing Address - Phone:347-792-7402
Mailing Address - Fax:
Practice Address - Street 1:1995 SEDGWICK AVE APT 4D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-2765
Practice Address - Country:US
Practice Address - Phone:347-792-7402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337141164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse