Individual
ADELAGUN OLUWASESAN ADELAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6259 DE COSTA AVE FL 1, ARVERNE, NY 11692-1335
(347) 824-8447
Mailing address
6259 DE COSTA AVE FL 1, ARVERNE, NY 11692-1335
(347) 824-8447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403404
NY
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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