Individual
ABIMBOLA OKUNOREN-SONUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8862
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
586053
NY
363LF0000X
Family Nurse Practitioner
Primary
340481
NY
364SF0001X
Family Health Clinical Nurse Specialist
F340481-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/27/2016
Last updated
03/31/2022
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