Individual
JAY M NFONOYIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 BARD AVE, MEDICINE/ CRITICAL CARE, STATEN ISLAND, NY 10310-1664
(718) 818-4452
(718) 818-3225
Mailing address
15 MAGUIRE CT # B1, STATEN ISLAND, NY 10309-2819
(718) 370-9778
(718) 370-9783
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
182840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355146
—
NY
Enumeration date
08/31/2006
Last updated
06/16/2008
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