Provider Demographics
NPI:1144192261
Name:ABE, FIFELOLUWA
Entity type:Individual
Prefix:
First Name:FIFELOLUWA
Middle Name:
Last Name:ABE
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 1:60 STATE ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2535
Mailing Address - Country:US
Mailing Address - Phone:347-845-9903
Mailing Address - Fax:
Practice Address - Street 1:60 STATE ST APT 2A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2535
Practice Address - Country:US
Practice Address - Phone:347-845-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program