Provider Demographics
NPI:1386046803
Name:OLORIFE, FELIX OLUROTIMI (LPN)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:OLUROTIMI
Last Name:OLORIFE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 WESTCHESTER AVE
Mailing Address - Street 2:SUIT 110
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3520
Mailing Address - Country:US
Mailing Address - Phone:914-997-0420
Mailing Address - Fax:877-306-1432
Practice Address - Street 1:777 WESTCHESTER AVE
Practice Address - Street 2:SUIT 110
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3520
Practice Address - Country:US
Practice Address - Phone:914-997-0420
Practice Address - Fax:877-306-1432
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318010-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse