Individual
ADEKEMI EGUNSOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9525 QUEENS BLVD FL 5, REGO PARK, NY 11374-4510
(718) 575-9595
Mailing address
900 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5302
(516) 730-2100
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
298797
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
98613
GA
Other
Enumeration date
04/07/2014
Last updated
03/06/2024
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