Individual provider · NPI-1

Racheal Olufunke Ajiboye, RN

Registered Nurse, Psych/Mental Health, Adult · Brooklyn, NY

NPI number1295378461
StatusActive
Last updated in NPPESOct 21, 2019

Details

NPI
1295378461
Entity type
Individual (NPI-1)
Name
Racheal Olufunke Ajiboye
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2019
Last updated
Oct 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult558887NYYes

Practice location

681 Clarkson Ave
Brooklyn, NY 11203-2125

Phone 718-221-7700

Mailing address

10415 187th St
Saint Albans, NY 11412-1028

Phone 347-495-8140

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