Individual
MISS BOLANLE KUDIRATU ADEGOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(718) 230-1379
Mailing address
249 THOMAS S BOYLAND ST, APT 23C, BROOKLYN, NY 11233-4156
(718) 415-3645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
701175-1
NY
2084P0800X
Psychiatry Physician
Primary
F403746
NY
Other
Enumeration date
11/18/2015
Last updated
05/21/2022
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