Individual provider · Type 1 NPI

Mary Okan Ajibade, RN

Registered Nurse · Staten Island, NY

NPI number 1104964212 Active

Practice location

81 Park Hill Cir
Staten Island, NY 10304-3634

Call (917) 862-5215 Map

Fax (718) 347-4643

Mailing address

35 Tulip Ave, PO Box 20838
Floral Park, NY 11002

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	280753 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104964212

Mary Okan Ajibade, RN's National Provider Identifier is 1104964212, issued on Feb 1, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 9, 2007.