Individual
MR. AYOBAMI GBEMIGA OWOEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1471 SAINT MARKS AVE, APT 3, BROOKLYN, NY 11233-4606
(917) 600-1888
Mailing address
1471 SAINT MARKS AVE, APT 3, BROOKLYN, NY 11233-4606
(917) 600-1888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639520-1
NY
164W00000X
Licensed Practical Nurse
Primary
282933
NY
Other
Enumeration date
11/05/2008
Last updated
01/17/2012
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