Individual
SOLOMON AKINFENWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 PORT WATSON ST, CORTLAND, NY 13045-3077
(347) 279-7122
Mailing address
58 PORT WATSON ST, CORTLAND, NY 13045-3077
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
009495
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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