MODUPE TIJANI

Licensed Practical Nurse

NPI: 1093189029Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

300406-1(NY)

Contact & Hours

Address: 345 VAN NAME AVE
STATEN ISLAND, NY 10303
Phone: (718) 815-0906

Location

Practice Location

345 VAN NAME AVE, STATEN ISLAND, NY

Quick Facts

NPI: 1093189029
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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