Individual
AYO OGUNTOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-2000
Mailing address
PO BOX 612, NEW YORK, NY 10027-0612
(203) 449-4044
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432151-01
NY
Other
Enumeration date
03/30/2017
Last updated
10/05/2021
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