Individual
TAIWO ODUFUNADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 LENOX AVE, SUITE 2-105, NEW YORK, NY 10037-1802
(212) 939-2251
Mailing address
506 LENOX AVE, SUITE 2-105, NEW YORK, NY 10037-1802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60279848
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2011
Last updated
06/01/2015
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