Individual
MR. OLUWATOBI ADEMIGOKE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(718) 559-0516
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
740044-1
NY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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