Individual
LATIFAT ADEYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 STATION PLZ N, MINEOLA, NY 11501-3800
(516) 663-2052
Mailing address
222 STATION PLZ N, MINEOLA, NY 11501-3800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306633
NY
Other
Enumeration date
02/08/2014
Last updated
06/28/2023
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