Individual
ADEREMI ISOLA ADEYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
214 BEACH 92ND ST, 1, ROCKAWAY BEACH, NY 11693-1540
(718) 634-3727
(718) 835-5008
Mailing address
214 BEACH 92ND ST, APT 1, ROCKAWAY BEACH, NY 11693-1540
(718) 634-3727
(718) 835-5008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013123
NY
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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