Organization
OLUSEGUN M ADEONIGBAGBE MDPC
Active
Organization
OLUSEGUN M ADEONIGBAGBE MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUSEGUN MICHAEL ADEONIGBAGBE MD (PRESIDENT)
(718) 217-7744
Entity
Organization
Contact information
Practice address
19203 JAMAICA AVE, HOLLIS, NY 11423-2529
(718) 217-7744
(718) 217-7233
Mailing address
19203 JAMAICA AVE, HOLLIS, NY 11423-2529
(718) 217-7744
(718) 217-7233
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
201260
NY
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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