Individual
BIMPE OGUNJEMILUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
(718) 667-4524
Mailing address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
(718) 667-4524
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
822033
NY
164W00000X
Licensed Practical Nurse
Primary
294879
NY
Other
Enumeration date
06/07/2010
Last updated
03/21/2026
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