Anthony Adigun

NPI 1497092134 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1497092134
Gender Male
Enumeration Date 01/15/2013
Last Updated 01/15/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
322 HARBOR RD
STATEN ISLAND NY, 10303-1875, US
Phone (718) 667-0087
Fax
Business Location
322 HARBOR RD
STATEN ISLAND NY, 10303-1875, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 294177
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According to our database, Mr. Anthony Adigun NPI is 1497092134, taxonomy code is 164W00000X and license number is 294177, license state is located at New York. Anthony Adigun physically located at 322 Harbor Rd, Staten Island NY, 10303-1875. NPI Number Anthony Adigun has the Individual type.

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1497092134 NPI number is provided on an as is basis without warranty of any kind. 1497092134 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Adigun are for informational purposes only.