Individual
ADESUWA IYARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 E 54TH ST, APT 4M, BROOKLYN, NY 11234-2441
(718) 909-7787
Mailing address
1165 E 54TH ST, APT 4M, BROOKLYN, NY 11234-2441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
306615
NY
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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