Individual
FOLASADE AJISEGBEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
560 WEST 168TH ST, NEW YORK, NY 10032-3917
(917) 754-4316
Mailing address
8704 FARRAGUT RD, BROOKLYN, NY 11236-3237
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
679155
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
133994
NY
Other
Enumeration date
02/24/2019
Last updated
07/04/2022
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