| Doctor Name: | MRS. OLUYINKA SANGOBOWALE |
| NPI Number: | 1265860654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.S.W |
| License Number: | 088013-1 |
| Business Practice Address: | 1900 Second Avenue 9th Floor New York, NY - 10029 |
| Business Phone Number: | 2123607875 |
| Business Fax Number: | 2123487253 |
| Mailing Address: | 1900 2nd Ave, 9th Floor NEW YORK |
| State: | NY |
| Postal Code: | 100297406 |
| Phone Number: | 2123607875 |
| Fax Number: | 2123487253 |
| NPI Enumeration Date: | 10/22/2013 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 088013-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |