Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 245706 | NY |
N | 111NI0900X | Internist | 245706 | NY |
Y | 207RC0200X | Critical Care Medicine | 245706 | NY |
N | 207RP1001X | Pulmonary Disease | 245706 | NY |
NPI | 1083807515 |
---|---|
Provider Name | Dr. Adebayo Olagoke Esan |
First Address | Brooklyn, NY 11209-6708 |
Second Address | Brooklyn, NY 11209-6708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2007 |
Last Update Date | 15/06/2015 |