Adeola O Ayodeji, MD | |
147 Lake Street, Newburgh, NY 12550-5242 | |
(845) 563-8000 | |
(845) 563-8096 |
Full Name | Adeola O Ayodeji |
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Gender | Female |
Speciality | Pediatrics |
Location | 147 Lake Street, Newburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689660201 | NPI | - | NPPES |
02796367 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 001909 (New York) | Secondary |
208000000X | Pediatrics | 241089 (New York) | Secondary |
208000000X | Pediatrics | 241089-1 (New York) | Primary |
Entity Name | Cornerstone Family Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689669079 PECOS PAC ID: 4880610393 Enrollment ID: O20051024000183 |
Mailing Address | Practice Location Address |
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Adeola O Ayodeji, MD 2570 Route 9w, Suite 10, Cornwall, NY 12518-1323 Ph: (845) 220-3100 | Adeola O Ayodeji, MD 147 Lake Street, Newburgh, NY 12550-5242 Ph: (845) 563-8000 |
Dr. Donna Jean Argenzio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 266 North St, Suite A, Newburgh, NY 12550 Phone: 845-565-5737 Fax: 845-565-7021 | |
Dr. Catherine Dailey Agricola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 Fullerton Ave Ste 1, Newburgh, NY 12550 Phone: 845-510-1870 Fax: 845-510-1872 | |
Jay S Saunders, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5177 Route 9w, Newburgh, NY 12550 Phone: 845-569-0123 | |
Dr. Thomas Depaola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 147 Lake St, Newburgh, NY 12550 Phone: 845-563-8000 | |
Prabhakar Kocherlakota, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Dubois St, Newburgh, NY 12550 Phone: 914-493-8558 Fax: 914-493-1488 | |
Andres Joaquin Greco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 377 Broadway, Newburgh, NY 12550 Phone: 845-562-2291 | |
Dr. Mukai Heather Jaravaza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 147 Lake Street, Greater Hudson Valley Family Health Cent, Newburgh, NY 12550 Phone: 845-563-8000 |