Individual
BISI AIYELABOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 BROADWAY, NEW YORK, NY 10024-1711
(212) 874-0238
Mailing address
9016 187TH PL, JAMAICA, NY 11423-2425
(347) 320-2135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063724
NY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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