Individual
ADETOUN ADEFOPE ATEWOGBOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 ALPHA ST, ELMONT, NY 11003-2403
(414) 690-4423
Mailing address
1430 ALPHA ST, ELMONT, NY 11003-2403
(414) 690-4423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1250549181
NY
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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