Individual
FADEKE MIKOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4444
Mailing address
452 INGRAM AVE, STATEN ISLAND, NY 10314-4416
(718) 619-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013227
NY
363A00000X
Physician Assistant
Primary
PA08670
TX
Other
Enumeration date
08/20/2009
Last updated
08/15/2025
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