Provider Demographics
NPI:1619731510
Name:OJUGBELE, FIYIFOLUWA (DPT)
Entity Type:Individual
Prefix:DR
First Name:FIYIFOLUWA
Middle Name:
Last Name:OJUGBELE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3240
Mailing Address - Country:US
Mailing Address - Phone:516-421-5222
Mailing Address - Fax:
Practice Address - Street 1:2256 2ND AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2280
Practice Address - Country:US
Practice Address - Phone:212-758-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051409-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist