Individual
DR. ABIOLA O ADELAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4501
(212) 423-4095
Mailing address
601 ELMWOOD AVE, BOX PSYCH, ROCHETSER, NY 14642-0001
(585) 275-4501
(585) 273-1130
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
261503
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03409809
—
NY
Enumeration date
07/08/2008
Last updated
08/10/2012
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