Individual
ANASTASIA ADEFOLAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
958 E 221ST ST, BRONX, NY 10469-1016
(718) 671-2100
Mailing address
958 E 221ST ST, BRONX, NY 10469-1016
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
585213
NY
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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