Individual
OMOTOLA TEMILOLU DAWODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4409
Mailing address
108 LIBERTY BLVD, VALLEY STREAM, NY 11580-5023
(516) 812-5007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
223871-1
NY
Other
Enumeration date
02/13/2006
Last updated
08/30/2010
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