Most Relevant Information
Provider Data
| NPI Number: | 1003058447 |
| Provider Name: | TEMITOPE FAWOLE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 597711 |
Most Important Dates
| Enumeration Date: | 03/31/2009 |
| Last Updated: | 05/10/2010 |
Provider Practice Location
185 SAINT MARKS PL
STATEN ISLAND
NY
103011670
Practice Location Phone/Fax
| Phone: | 2126777400 |
| Fax: |
Provider Mailing Location
185 SAINT MARKS PL
STATEN ISLAND
NY
103011670
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |