Individual
OLUWAFEMI SANYAOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 TARGEE ST, STATEN ISLAND, NY 10304-1822
(718) 442-6444
(718) 981-5171
Mailing address
480 TARGEE ST, STATEN ISLAND, NY 10304-1822
(718) 442-6444
(718) 981-5171
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B02661
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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