Individual
MR. ADENIYI OLABAMIJO ADETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
165 BROWN PL, BRONX, NY 10454-4110
(718) 401-0572
(718) 401-0572
Mailing address
165 BROWN PL, BRONX, NY 10454-4110
(718) 401-0572
(718) 401-0572
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
601506
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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