Individual
MORUFAT BODUNRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
(718) 830-1676
Mailing address
17925 144TH AVE, JAMAICA, NY 11434-5923
(718) 276-1469
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304652-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12165199
CAQH
NY
Enumeration date
08/10/2011
Last updated
10/27/2024
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