Individual
AGBOADE ADEMIJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 INTERVALE AVE,, ARCHCARE, BRONX, BRONX, NY 10459
(718) 732-7171
Mailing address
872 MACON ST, APT 4R, BROOKLYN, NY 11233-1673
(234) 307-3192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
595738
NY
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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