Individual
BABAJIDE OGUNMUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 HENRIETTA ST, YONKERS, NY 10701-6106
(914) 423-9140
Mailing address
18 HENRIETTA ST, YONKERS, NY 10701-6106
(914) 423-9140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310323
NY
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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