Individual
JOHNSON BOLORUNDURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(347) 258-1679
Mailing address
2620 BEVERLEY RD, APT 8B, BROOKLYN, NY 11226-5477
(347) 258-1679
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
716854
NY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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