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OPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC
NPI 1386475465
Nurse Practitioner - Primary Care in New York, NY

Active since August 12, 2024
105 W 125TH ST FRNT 1, NEW YORK, NY 10027(347) 872-9006 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Optimal Life Integrative Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC (NPI 1386475465) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since August 2024. The organization lists Yusupha Dukureh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386475465
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameOPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC
Location Address105 W 125TH ST FRNT 1New York, NY 10027-4444
Mailing Address105 W 125th St Frnt 1New York, NY 10027-4444 · (347) 872-9006
Phone(347) 872-9006
Organization SubpartNo
Authorized OfficialYusupha DukurehAdministrator · (347) 849-1576
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 11, 2024
✔ NPI 1386475465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
105 W 125TH ST FRNT 1, New York, NY 10027
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHNIK NUTRITION PRACTICE LLC
Dietitian, Registered
105 W 125TH ST FRNT 1
NEW YORK, NY 10027
New York County (646) 245-1945
EVERCARE SUPPLIES CORP.
Durable Medical Equipment & Medical Supplies
105 W 125TH ST FRNT 1
NEW YORK, NY 10027
New York County (347) 395-4051
JOSEPHINE BINTU KATOBO RD
Dietitian, Registered
105 W 125TH ST FRNT 1
NEW YORK, NY 10027
New York County (646) 245-1945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Life Integrative Health Clinic LLC's NPI number?

The NPI number for Optimal Life Integrative Health Clinic LLC is 1386475465. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Optimal Life Integrative Health Clinic LLC located?

Optimal Life Integrative Health Clinic LLC is located at 105 W 125th St Frnt 1, New York, NY 10027. The listed phone number is (347) 872-9006.

What is Optimal Life Integrative Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Optimal Life Integrative Health Clinic LLC was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.