Individual
DR. OLASENI ALEXANDER SHOROYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201653
VA
207R00000X
Internal Medicine Physician
038737
CT
207R00000X
Internal Medicine Physician
219348-1
NY
208M00000X
Hospitalist Physician
13610
CA
208M00000X
Hospitalist Physician
219348
NY
208M00000X
Hospitalist Physician
Primary
219348-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133734
—
VA
05
—
1053376509
—
VA
01
—
P01198012
RR MEDICARE
VA
05
—
Q014694
—
TN
Enumeration date
04/19/2006
Last updated
05/31/2023
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