Organization
OPTIMUM FAMILY MEDICINE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFUNMILAYO O ADEYANJU M.D (MEDICAL DIRECTOR)
(347) 202-9545
Entity
Organization
Contact information
Practice address
675 NEREID AVE, BRONX, NY 10470-1514
(347) 202-9545
(347) 202-9580
Mailing address
675 NEREID AVE, BRONX, NY 10470-1514
(347) 202-9545
(347) 202-9580
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
236764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797726
—
NY
Enumeration date
10/27/2006
Last updated
08/22/2020
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