Individual
DARE I ADEYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 GRAND CONCOURSE,, ESSEN MEDICAL, BRONX, NY 10453-8648
(718) 731-2020
(718) 294-6276
Mailing address
8647 164TH ST # 31, JAMAICA, JAMAICA, NY 11432-3450
(718) 288-3332
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
60 267278
NY
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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