Provider Demographics
NPI:1417707779
Name:ARISOYIN, ABIMBOLA EUNICE (MD)
Entity Type:Individual
Prefix:DR
First Name:ABIMBOLA
Middle Name:EUNICE
Last Name:ARISOYIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABIMBOLA
Other - Middle Name:EUNICE
Other - Last Name:FAPOHUNDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:506 LENOX AVE # MP5-177
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1802
Mailing Address - Country:US
Mailing Address - Phone:212-939-2576
Mailing Address - Fax:
Practice Address - Street 1:5901 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1205
Practice Address - Country:US
Practice Address - Phone:430-252-1757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program