Individual
ABIOLA A AGBOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNM
Contact information
Practice address
194 TARGEE ST, STATEN ISLAND, NY 10304-1926
(347) 276-1280
(718) 390-5166
Mailing address
194 TARGEE ST, STATEN ISLAND, NY 10304-1926
(347) 276-1280
(718) 390-5166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1343L001
NY
133N00000X
Nutritionist
1343L001
NY
163W00000X
Registered Nurse
403674
NY
163WA2000X
Administrator Registered Nurse
360383
NY
163WH0200X
Home Health Registered Nurse
403674
NY
163WX0002X
High-Risk Obstetric Registered Nurse
403674
NY
176B00000X
Midwife
F000731
NY
207ZC0006X
Clinical Pathology Physician
Primary
1343L001
NY
225100000X
Physical Therapist
1343L001
NY
225X00000X
Occupational Therapist
1343L001
NY
364SH0200X
Home Health Clinical Nurse Specialist
1343L001
NY
3747P1801X
Personal Care Attendant
1343L001
NY
Other
Enumeration date
03/18/2011
Last updated
02/24/2021
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