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Olusegun M Adeonigbagbe Mdpc
Endoscopy Clinic/Center in Hollis, New York
NPI 1336474287

Olusegun M Adeonigbagbe Mdpc is a Endoscopy Clinic/Center based in Hollis, NY and is specialized in Endoscopy. Olusegun M Adeonigbagbe Mdpc practices in Hollis, NY. The NPI Number for Olusegun M Adeonigbagbe Mdpc is 1336474287 and holds a License No. 201260 (New York).

The current practice location address for Olusegun M Adeonigbagbe Mdpc is 19203 Jamaica Ave, Hollis, NY and can be reached out via phone at 718-217-7744 and via fax at 718-217-7233.

Location: 19203 Jamaica Ave, Hollis, NY, 11423-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336474287
Provider Name
Olusegun M Adeonigbagbe Mdpc
Credential
Provider Entity Type
Organization
Address
19203 Jamaica Ave, Hollis, NY, 11423-2529
Phone Number
718-217-7744
Fax Number
718-217-7233
Provider Enumeration Date
10/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19203 Jamaica Ave
City
Hollis
State
New York
Zip
11423-2529
Phone Number
718-217-7744
Fax Number
718-217-7233
person
Provider Business Mailing Address Details
Address
19203 Jamaica Ave
City
Hollis
State
New York
Zip
11423-2529
Phone Number
718-217-7744
Fax Number
718-217-7233
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
261QE0800X
License No.
201260 (New York)
Definition
Definition to come...
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