Most Relevant Information
Provider Data
| NPI Number: | 1003660234 |
| Provider Name: | ADEDAMOLA ILERIOLUWA OGUNDIPE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
750 E ADAMS ST
SYRACUSE
NY
132102306
Practice Location Phone/Fax
| Phone: | 3154644363 |
| Fax: |
Provider Mailing Location
500 HARRISON ST APT 501A
SYRACUSE
NY
132023072
Provider Mailing Phone/Fax
| Phone: | 3479251234 |
| Fax: |