Individual
ADEKEMI IDOWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
664 WESTMINSTER RD, NORTH BALDWIN, NY 11510-1039
(347) 399-9056
Mailing address
664 WESTMINSTER RD, NORTH BALDWIN, NY 11510-1039
(347) 399-9056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313969
—
NY
Enumeration date
11/10/2016
Last updated
11/10/2016
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