Individual
SAMUEL OYEWOLE ADEYEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
148 WILSON AVENUE, COMPREHENSIVE HEALTH CARE AND REHABILITATION SERVICES, BROOKLYN, NY 11237-3149
(718) 455-5500
(718) 455-8700
Mailing address
1587 STRAWBERRY RD, MOHEGAN LAKE, NY 10547-1046
(914) 526-0606
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005445
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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