Provider Demographics
NPI:1801038591
Name:ATUMONYOGO, KESTER C
Entity Type:Individual
Prefix:MR
First Name:KESTER
Middle Name:C
Last Name:ATUMONYOGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 ALLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8744
Mailing Address - Country:US
Mailing Address - Phone:646-326-5126
Mailing Address - Fax:212-280-2121
Practice Address - Street 1:736 ALLERTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8744
Practice Address - Country:US
Practice Address - Phone:646-326-5126
Practice Address - Fax:212-280-2121
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies