Organization
CITYBLOCK MEDICAL PRACTICE NC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN AJAYI MD (PRESIDENT)
(617) 710-0719
Entity
Organization
Contact information
Practice address
546 EASTERN PARKWAY, CITYBLOCK - CROWN HEIGHTS, BROOKLYN, NY 11225-1604
(000) 000-0000
(718) 604-4828
Mailing address
55 WASHINGTON ST STE 552, BROOKLYN, NY 11201-1089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
05/20/2019
Last updated
05/25/2023
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