Individual
AJIBOLA KUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
370 MOSEL AVE, STATEN ISLAND, NY 10304-3435
(347) 837-9602
Mailing address
370 MOSEL AVE, STATEN ISLAND, NY 10304-3435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
316392
NY
363LF0000X
Family Nurse Practitioner
Primary
355544
NY
Other
Enumeration date
05/26/2014
Last updated
03/07/2025
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