Individual
BOLA ADIJAT ADEYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SCARBORO AVE, STATEN ISLAND, NY 10305-3118
(718) 551-8932
Mailing address
185 DONGAN ST, STATEN ISLAND, NY 10310-1909
(347) 208-4060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
355625
NY
Other
Enumeration date
07/18/2026
Last updated
07/18/2026
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