Individual
DR. BOSEDE OLUSEYI FAGBEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3 ALBERT CT, VALLEY STREAM, NY 11580-4944
(516) 637-3156
Mailing address
3 ALBERT CT, VALLEY STREAM, NY 11580-4944
(516) 637-3156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0140731
NY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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