Individual
ADEDEJI ADEDAYO ADEMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13747 234TH ST, ROSEDALE, NY 11422-1702
(516) 996-8157
Mailing address
13747 234TH ST, ROSEDALE, NY 11422-1702
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
772344
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
772344
NY
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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