Individual
ABAYOMI OLUFUNMILAYO LADEJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1593 E 94TH ST, BROOKLYN, NY 11236-5223
(718) 406-7652
Mailing address
1 SUMMIT AVE FL 3, WHITE PLAINS, NY 10606-3003
(718) 406-7652
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
253903-1
NY
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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