Individual
ABIMBOLA GBOGBOADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 POST AVE, STATEN ISLAND, NY 10302-1838
(347) 824-4777
Mailing address
1052 POST AVE, STATEN ISLAND, NY 10302-1838
(347) 824-4777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N25562-01
NY
164W00000X
Licensed Practical Nurse
307963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7634150UPD
—
NY
Enumeration date
02/10/2012
Last updated
03/10/2026
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