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Individual

ADELEYE BABALOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
12205 FLATLANDS AVE, APT-4G, BROOKLYN, NY 11207-9052
(718) 671-2100
Mailing address
12205 FLATLANDS AVE, APT-4G, BROOKLYN, NY 11207-9052
(718) 671-2100

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406110-01
NY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
F406110-01
NY

Other

Enumeration date
03/30/2011
Last updated
01/09/2025
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