Individual
DR. SUNKANMI AJEWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276127
NY
208M00000X
Hospitalist Physician
Primary
276127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03942601
—
NY
Enumeration date
05/05/2011
Last updated
04/15/2021
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