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NPI Code Detail

MEDICARE: SUNDAY IMMANUEL OGUNRINDE

MEDICARE:   SUNDAY IMMANUEL OGUNRINDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1376700104
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNDAY IMMANUEL OGUNRINDE
Provider Business Mailing Address
First Line : 1329 BEACH CHANNEL DR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-3211
Country : US
Telephone Number : 718-337-6850
Fax Number :
Provider Business Practice Location Address
First Line : 141 BEACH 56TH PL
Second Line : # 801
City : ARVERNE
State : NY
Zip : 11692-1922
Country : US
Telephone Number : 718-474-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 05/20/2008

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Directions to “ SUNDAY IMMANUEL OGUNRINDE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.