Individual
OLAITAN AJISAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8369
(718) 250-6528
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8369
(718) 250-6528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
89907
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
03/24/2022
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