Individual
ADESUWA LENORA OBASUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
852 CENTENNIAL AVE, NORTH BALDWIN, NY 11510-1915
(516) 303-2781
Mailing address
852 CENTENNIAL AVE, NORTH BALDWIN, NY 11510-1915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
12/17/2021
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