Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006283-1 | NY |
NPI | 1003051285 |
---|---|
Provider Name | Dr. Adejoke Abolade Babalola |
First Address | Saint Albans, NY 11412-2647 |
Second Address | Fair Lawn, NJ 07410-2769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 03/03/2016 |