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Individual

DR. OLUSOJI DEREK OLAKANPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3344 CHAMBERS RD STE 100, HORSEHEADS, NY 14845-1403
(607) 734-2264
Mailing address
GUTHRIE SOUTHERN TIER PEDIATRICS, 3344 CHAMBERS RD #200, HORSEHEADS, NY 14845-2925
(607) 734-2264

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101255475
VA
208000000X
Pediatrics Physician
052193
CT
208000000X
Pediatrics Physician
16557
NH
208000000X
Pediatrics Physician
D0076470
MD
208000000X
Pediatrics Physician
MD042002
DC

Other

Enumeration date
05/28/2013
Last updated
05/14/2021
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