Individual
OLUMIDE OYELEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 INDUSTRIAL BLVD, MEDFORD, NY 11763-2220
(631) 924-4411
Mailing address
31 INDUSTRIAL BLVD, MEDFORD, NY 11763-2220
(631) 924-4411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403634
NY
Other
Enumeration date
08/22/2021
Last updated
08/30/2022
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