Individual
DR. VIVIAN O ADEYEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042-1005
(855) 201-4988
Mailing address
271-11 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 289-2280
(718) 289-2345
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
237524
NY
Other
Enumeration date
03/05/2007
Last updated
10/24/2019
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