Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Optimal Life Integrative Health Clinic LLC

Organization Primary Care Nurse Practitioner · NPI 1386475465

Optimal Life Integrative Health Clinic LLC provides Primary Care Nurse Practitioner services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 W 125th St Frnt 1
New York, NY 10027-4444
Phone: (347) 872-9006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1386475465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yusupha Dukureh — Administrator · (347) 849-1576
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 11, 2024
Mailing address105 W 125th St Frnt 1, New York, NY 10027-4444

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