Abiola A Agboola, RN CNM is a
Pathology - Clinical Pathology based in Staten Island, New York. Abiola A Agboola is licensed to practice in New York (license number 1343L001) and her current practice location is
194 Targee St, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 276-1280.
NPI number for Abiola A Agboola is 1790084507 and her current mailing address is 194 Targee St, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790084507.
Healthcare Provider's Profile
| Full Name | Abiola A Agboola |
|---|
| Gender | Female |
|---|
| Speciality | Pathology - Clinical Pathology |
|---|
| Location | 194 Targee St, Staten Island, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790084507
- Provider Enumeration Date: 03/18/2011
- Last Update Date: 02/24/2021
Medical Identifiers
Medical identifiers for Abiola A Agboola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790084507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1343L001 (New York) | Secondary |
| 133N00000X | Nutritionist | 1343L001 (New York) | Secondary |
| 163W00000X | Registered Nurse | 403674 (New York) | Secondary |
| 163WA2000X | Registered Nurse - Administrator | 360383 (New York) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 403674 (New York) | Secondary |
| 163WX0002X | Registered Nurse - Obstetric, High-risk | 403674 (New York) | Secondary |
| 176B00000X | Midwife | F000731 (New York) | Secondary |
| 225100000X | Physical Therapist | 1343L001 (New York) | Secondary |
| 225X00000X | Occupational Therapist | 1343L001 (New York) | Secondary |
| 364SH0200X | Clinical Nurse Specialist - Home Health | 1343L001 (New York) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | 1343L001 (New York) | Secondary |
| 207ZC0006X | Pathology - Clinical Pathology | 1343L001 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abiola A Agboola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abiola A Agboola, RN CNM
194 Targee St,
Staten Island, NY 10304-1926
Ph: (347) 276-1280 | Abiola A Agboola, RN CNM
194 Targee St,
Staten Island, NY 10304-1926
Ph: (347) 276-1280 |
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