DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ABIOLA A AGBOOLA, RN CNM

Active

ABIOLA A AGBOOLA, RN CNM is a Clinical Pathology healthcare provider located in STATEN ISLAND, New York. NPI 1790084507 is currently active in the NPPES registry. Verify at CMS.

Clinical Pathology · STATEN ISLAND, NY

Registration Details

NPI Number
1790084507
Provider Type
Individual
Gender
Female
NPI Issued
Mar 18, 2011 (15.391758978748 yrs)
Last Updated
Feb 24, 2021
Licenses
1343L001 (NY)
1343L001 (NY)
403674 (NY)
360383 (NY)
403674 (NY)

Practice Information

Address
194 TARGEE ST
STATEN ISLAND, NY, 103041926
Browse NY providers · Browse ZIP 10304
Phone
3472761280
Fax
7183905166
Primary Specialty
Clinical Pathology
207ZC0006X
Additional Specialty
Nutritionist
Additional Specialty
Registered Nurse
Additional Specialty
Advance Practice Midwife
Additional Specialty
Home Health Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.