Individual
DR. ADEBUKOLA ADEBAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21543 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1736
(718) 217-0424
(718) 217-0459
Mailing address
21543 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1736
(718) 217-0424
(718) 217-0459
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
275557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03975546
—
NY
Enumeration date
04/07/2009
Last updated
03/15/2017
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