Individual
ABIMBOLA ODERINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 MERSEREAU AVE, STATEN ISLAND, NY 10303-2026
(347) 837-5510
Mailing address
27 MERSEREAU AVE, STATEN ISLAND, NY 10303-2026
(347) 837-5510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919011-01
NY
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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