Individual
ADEBAYO OYEWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 BROOKLYN AVE, BROOKLYN, NY 11210-1814
(718) 828-2666
Mailing address
1414 BROOKLYN AVE, BROOKLYN, NY 11210-1814
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309062
NY
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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