Individual
AHMED OLASUNKANMI ASHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-2778
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
10/19/2023
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