Individual
ADEDAPO SAMUEL OLADIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 NEW SCOTLAND AVE DEPT OF, ALBANY, NY 12208-3412
(518) 262-6946
Mailing address
47 NEW SCOTLAND AVE DEPT OF, ALBANY, NY 12208-3412
(518) 262-6946
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
P112082
NY
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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