Individual
ADERONKE STELLA AGBELEMOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P. N
Contact information
Practice address
515 E FORDHAM RD, BRONX, NY 10458-5029
(718) 430-4900
Mailing address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333894
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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