Organization
PRIMEROSE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUBUNMI ABIYE BOLAJI M.D. (OWNER)
(718) 795-8272
Entity
Organization
Contact information
Practice address
11 BENCH LN, LEVITTOWN, NY 11756-1802
(718) 795-8272
Mailing address
11 BENCH LN, LEVITTOWN, NY 11756-1802
(718) 795-8272
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
254613
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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