Individual
MISS DAMILOLA ADEDAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
317 HILLSIDE AVE, STATEN ISLAND, NY 10304-1812
(347) 524-3794
Mailing address
317 HILLSIDE AVE, STATEN ISLAND, NY 10304-1812
(347) 524-3794
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315483-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13555567
EMBLEM HEALTH
NY
Enumeration date
01/03/2015
Last updated
01/03/2015
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