Individual
ADEJOKE MUMUNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 EDGEWOOD ST, ROSEDALE, NY 11422-3207
(646) 764-4565
Mailing address
14715 EDGEWOOD ST, ROSEDALE, NY 11422-3207
(646) 764-4565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280534
NY
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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