Individual
TEMITOPE FAJUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BOND CT, MERRICK, NY 11566-1202
(347) 274-4400
Mailing address
620 BOND CT, MERRICK, NY 11566-1202
(347) 274-4400
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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