Individual
DR. OLUBUKOLA T ADEYEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1801 BLACK RIVER BLVD N, ROME, NY 13440-2427
(315) 337-3770
(315) 337-5380
Mailing address
1801 BLACK RIVER BLVD N, ROME, NY 13440-2427
(315) 337-3770
(315) 337-5380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
281482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281482
LICENSE
NY
Enumeration date
12/02/2014
Last updated
10/13/2015
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