Individual
DR. ADENIYI ODUNAYO FAGBENRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36-11 21ST STREET, LONG ISLAND, NY 11106
(646) 226-5213
Mailing address
60 MADISON AVENUE 5TH FLOOR, NEW YORK, NY 10010
(646) 226-5213
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
08/14/2025
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