Nfonoyim, Jay M

Nfonoyim, Jay M is an individual health care provider with primary practice located at 355 Bard Ave Medicine/ Critical Care, Staten Island NY 10310-1664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Nfonoyim, Jay M can be contacted via phone (718) 818-4452.

Contact Information

Primary practice address
355 Bard Ave Medicine/ Critical Care Staten Island NY 10310-1664
Phone: (718) 818-4452
Fax: (718) 818-3225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 182840 New York

Profile Details

NPI number 1386756906
LBN Legal business name Nfonoyim, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386756906 NPPES
New York MEDICAID 01355146

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