Individual
ABIODUN OLUSINA ADEYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3424 STONEY ST, MOHEGAN LAKE, NY 10547-1420
(917) 405-8340
Mailing address
P.O. BOX 41, SHRUB OAK, NY 10588
(917) 405-8340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014645-1
NY
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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