Individual
ADEBUKOLA AINA ADENIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 E MAIN ST STE 1B, BABYLON, NY 11702-3517
(631) 482-9880
(631) 482-9911
Mailing address
133 E MAIN ST STE 1B, BABYLON, NY 11702-3517
(631) 482-9880
(631) 482-9911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553296-1
NY
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
306216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03652600
—
NY
Enumeration date
08/29/2012
Last updated
05/26/2020
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