Individual
ABISOLA SHITTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 HAROLD ST, STATEN ISLAND, NY 10314-4144
(718) 650-1621
Mailing address
363 HAROLD ST, STATEN ISLAND, NY 10314-4144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
813814
NY
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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