Individual
OLAMIDE AYOTOLA AJAGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5450
(315) 464-6322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261255
NY
208M00000X
Hospitalist Physician
Primary
261255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03357600
—
NY
Enumeration date
02/23/2009
Last updated
08/27/2013
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