IndividualActive
Abiola Agboola, RN CNM
NPI 1790084507 · Clinical Pathology Physician · Staten Island, NY
Provider details
- NPI number
- 1790084507
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- RN CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 1343L001 (NY)
Practice location
194 Targee St
Staten Island, NY 10304-1926
Phone: (347) 276-1280
Fax: (718) 390-5166
Mailing address
194 Targee St
Staten Island, NY 10304-1926
Registry dates
- Enumerated
- 2011-03-18
- Last updated
- 2021-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.