Mr Fausat Adenike Adetola, | |
40 W Mosholu Pkwy S, Apt 30a, Bronx, NY 10468-1150 | |
(347) 238-7826 | |
Not Available |
Full Name | Mr Fausat Adenike Adetola |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 40 W Mosholu Pkwy S, Bronx, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003061607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 293721-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Fausat Adenike Adetola, 40 W Mosholu Pkwy S, Apt 30a, Bronx, NY 10468-1150 Ph: (347) 238-7826 | Mr Fausat Adenike Adetola, 40 W Mosholu Pkwy S, Apt 30a, Bronx, NY 10468-1150 Ph: (347) 238-7826 |
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