Provider Demographics
NPI:1740460419
Name:OGUNNIYI, FLORENCE OLADOYIN
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:OLADOYIN
Last Name:OGUNNIYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 THIERIOT AVE
Mailing Address - Street 2:APT 6A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2821
Mailing Address - Country:US
Mailing Address - Phone:718-617-4422
Mailing Address - Fax:
Practice Address - Street 1:880 THIERIOT AVE
Practice Address - Street 2:APT 6A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2821
Practice Address - Country:US
Practice Address - Phone:718-617-4422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283588164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse