Individual
DR. COMFORT BOLA ASANBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2800 VICTORY BLVD, STATEN ISLAND, NY 10314-6609
(718) 982-3780
(718) 982-4114
Mailing address
2800 VICTORY BLVD, STATEN ISLAND, NY 10314-6609
(718) 982-3780
(718) 982-4114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017583
NY
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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