Individual
ELIZABETH ADERONKE ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11042 169TH ST # PRIVATE, JAMAICA, NY 11433-3469
(929) 377-3416
Mailing address
11042 169TH ST # PRIVATE, JAMAICA, NY 11433-3469
(929) 377-3416
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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