Individual
OLAOLUWA OYESOJI OJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 WINTHROP DR, DIX HILLS, NY 11746-5739
(631) 220-2591
Mailing address
2 WINTHROP DR, DIX HILLS, NY 11746-5739
(631) 220-2591
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
622096568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622096568
HPSO
NY
Enumeration date
04/09/2019
Last updated
04/09/2019
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