Doctor Name: | SUNDAY IMMANUEL OGUNRINDE |
NPI Number: | 1376700104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 141 Beach 56th Pl # 801 Arverne, NY - 116921922 |
Business Phone Number: | 7184746050 |
Business Fax Number: | |
Mailing Address: | 1329 Beach Channel Dr, FAR ROCKAWAY |
State: | NY |
Postal Code: | 116913211 |
Phone Number: | 7183376850 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |