Individual
AGBONIFO AKPATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822 AVENUE H, BROOKLYN, NY 11230-1820
(718) 450-5747
Mailing address
1310 SALEM AVE, HILLSIDE, NJ 07205-2429
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
FM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765684711
DRIVER LICENSE
NY
Enumeration date
01/24/2019
Last updated
01/24/2019
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