MEDICARE: FUNMILAYO P. ONAGHISE

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
1	174400000X	Specialist	2883896	NY

General Provider Information

NPI Number	:	1174316970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FUNMILAYO P. ONAGHISE

Provider Business Mailing Address
First Line	:	544 PUGSLEY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-1807
Country	:	US
Telephone Number	:	347-839-8675
Fax Number	:

Provider Business Practice Location Address
First Line	:	4022 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3018
Country	:	US
Telephone Number	:	347-839-8675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2025
Last Update Date	:	05/24/2025

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Directions to “ FUNMILAYO P. ONAGHISE ” Practice Location

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