Individual
ADEBISI ADERINSOLA OJUDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24515 149TH DR, ROSEDALE, NY 11422-2715
(646) 731-7659
Mailing address
24515 149TH DR, ROSEDALE, NY 11422-2715
(646) 731-7659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023087-1
NY
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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