Individual
DR. OLUBUNMI ABIYE BOLAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6080 JERICHO TPKE STE 205, COMMACK, NY 11725-2808
(631) 486-4834
(631) 486-5029
Mailing address
6080 JERICHO TPKE STE 205, COMMACK, NY 11725-2808
(631) 486-4834
(631) 486-5029
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
254613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03203005
—
NY
Enumeration date
08/25/2009
Last updated
05/02/2023
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