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Contact Information

SIMBIAT O AJAYI AJIBOLA
17631 130TH AVE
1ST FLOOR
JAMAICA, NY11434-5823
 Phone: 718-801-7581
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SIMBIAT O AJAYI AJIBOLA · (Female)

NPI Number 1699919860
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2009
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 614041
  • NY License # F307777
Hospital affiliation(s)
  • JAMAICA HOSPITAL MEDICAL CENTER - (Acute Care)
    89TH AVENUE AND VAN WYCK EXPRESSWAY
    JAMAICA, NY 11418
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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