BOLAJI ISIJOLA
NPI 1629583216
Licensed Practical Nurse in Queens Village, NY

Active since December 05, 2017
11042 207TH ST, QUEENS VILLAGE, NY 11429(917) 627-0760 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About BOLAJI ISIJOLA

This page provides the complete NPI Profile along with additional information for Bolaji Isijola, a provider established in Queens Village, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1629583216 assigned on December 2017. The practitioner's primary taxonomy code is 164W00000X with license number 330801 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1629583216 Verify this NPI
Provider Name
BOLAJI ISIJOLA
Gender
Female
Entity Type
Individual
Location Address
11042 207TH ST QUEENS VILLAGE, NY 11429
Location Phone
(917) 627-0760
Mailing Address
11042 207TH ST QUEENS VILLAGE, NY 11429
Mailing Phone
(917) 627-0760
Is Sole Proprietor?
No
Enumeration Date
12-05-2017
Last Update Date
12-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
330801
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629583216, enumerated as an "individual" on December 05, 2017.

The provider is located at 11042 207TH ST QUEENS VILLAGE, NY 11429 and the phone number is (917) 627-0760.

Licensed Practical Nurse with taxonomy code 164W00000X.