Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 60236698 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | M14405 | ID |
NPI | 1205912524 |
---|---|
Provider Name | Dr. Adebayo Adeyinka |
First Address | Brooklyn, NY 11201-5425 |
Second Address | Brooklyn, NY 11206-5317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2006 |
Last Update Date | 02/12/2018 |