Individual
ADEYEMO DANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19115 115TH AVE, SAINT ALBANS, NY 11412-2727
(929) 309-3374
Mailing address
19115 115TH AVE, SAINT ALBANS, NY 11412-2727
(929) 309-3374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
320346
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405779
NY
Other
Enumeration date
04/14/2017
Last updated
06/24/2025
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