Organization
HERITAGE INTEGRATED HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOLA O ORAFIDIYA (MEDICAL DOCTOR)
(718) 230-5885
Entity
Organization
Contact information
Practice address
34 PLAZA ST E, SUITE 104, BROOKLYN, NY 11238-5038
(718) 230-5885
(718) 230-4260
Mailing address
34 PLAZA ST E, SUITE 104, BROOKLYN, NY 11238-5038
(718) 230-5885
(718) 230-4260
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
203946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733531
—
NY
Enumeration date
02/09/2007
Last updated
04/05/2010
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