Individual
MS. FOLASHADE ADEJUMOKE ADESHUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461
(718) 918-5000
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(347) 524-5947
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
294339-1
NY
208D00000X
General Practice Physician
294339-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
05/13/2021
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