Doctor Name: | AFOLABI POROYE |
NPI Number: | 1386956654 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5964661 |
Business Practice Address: | 6226 Burchell Rd Apt #5 Arverne, NY - 116921343 |
Business Phone Number: | 3474699341 |
Business Fax Number: | |
Mailing Address: | 6226 Burchell Rd, Apt #5 ARVERNE |
State: | NY |
Postal Code: | 116921343 |
Phone Number: | 3474699341 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2010 |
NPI Last Update Date: | 07/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 5964661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |