Most Relevant Information
Provider Data
| NPI Number: | 1003377359 |
| Provider Name: | ABAYOMI OLUFUNMILAYO LADEJI |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 253903-1 |
Most Important Dates
| Enumeration Date: | 03/28/2019 |
| Last Updated: | 03/28/2019 |
Provider Practice Location
1593 E 94TH ST
BROOKLYN
NY
112365223
Practice Location Phone/Fax
| Phone: | 7184067652 |
| Fax: |
Provider Mailing Location
1 SUMMIT AVE FL 3
WHITE PLAINS
NY
106063003
Provider Mailing Phone/Fax
| Phone: | 7184067652 |
| Fax: |