Individual
ABIMBOLA ADEBAJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(516) 366-9353
Mailing address
307 WELLINGTON PARK VILLAS DR, AMITYVILLE, NY 11701-3063
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F339837
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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