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Individual

ADETUMI ADENIYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8801 19TH AVE, BROOKLYN, NY 11214-4684
(888) 806-2497
Mailing address
675 LINCOLN AVE APT 13E, BROOKLYN, NY 11208-4027

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QN95769K
NY
Enumeration date
04/01/2019
Last updated
04/01/2019
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