Individual
MISS ADEBISI ABIODUN OKEYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
528 ROCKAWAY AV, 2 FLR, BROOKLYN, NY 11212-5636
(718) 207-3413
(718) 493-2775
Mailing address
528 ROCKAWAY AVE, 1ST FLR, BROOKLYN, NY 11212
(718) 207-3413
(718) 493-2775
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
014897
NY
225100000X
Physical Therapist
Primary
014897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987728
—
NY
01
—
QA022
MEDICARE NO
NY
Enumeration date
05/04/2006
Last updated
10/16/2013
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