Individual
OLUKEMI ADEBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2671
Mailing address
304 ARKANSAS DR, VALLEY STREAM, NY 11580-1804
(516) 468-5992
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
775384
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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