Individual
ADEOLA O AYODEJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 LAKE STREET, NEWBURGH, NY 12550-5242
(845) 563-8000
(845) 563-8096
Mailing address
2570 ROUTE 9W, SUITE 10, CORNWALL, NY 12518-1323
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001909
NY
208000000X
Pediatrics Physician
241089
NY
208000000X
Pediatrics Physician
Primary
241089-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02796367
—
NY
Enumeration date
09/20/2005
Last updated
09/30/2016
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