Individual ProviderJulius OgunnayaCounselorBehavioral Health & Social Service ProvidersPractice Address17734 Troutville Rd, Jamaica, NY 11434-2712(516) 728-7564PECOS EnrollmentBased on the most recent information from CMS, provider Julius Ogunnaya does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1619355211Provider TypeIndividualFull NameOgunnaya, JuliusGenderMaleSole ProprietorNoEnumeration Date5/14/2015Last Updated5/14/2015Contact InformationPractice LocationPractice Address17734 Troutville Rd, Jamaica, NY 11434-2712Phone(516) 728-7564FaxUnlisted FaxMailing LocationMailing Address177-34 Troutville Road, Jamaica, NY 11434-2712Phone(516) 728-7564FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer