Individual
ABIOLA ADESANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 KOSCIUSZKO ST, APT. 2, BROOKLYN, NY 11221-2308
(347) 635-3621
Mailing address
520 KOSCIUSZKO ST, APT. 2, BROOKLYN, NY 11221-2308
(347) 635-3621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314452
NY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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