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Individual

DR. OLAYEMI MOTILOLA IKUSIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6600
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
I222660609993
MD

Other

Enumeration date
11/17/2007
Last updated
01/06/2017
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