Individual
TITILAYO ADEGBOYEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
321 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 470-1450
(631) 470-1451
Mailing address
321 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 470-1450
(631) 470-1451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
285382-1
NY
208600000X
Surgery Physician
56211-20
WI
Other
Enumeration date
06/08/2010
Last updated
11/14/2016
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