Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 272703 | NY |
Y | 111NI0900X | Internist | 272703 | NY |
N | 207RG0300X | Geriatric Medicine | 272703 | NY |
NPI | 1104110675 |
---|---|
Provider Name | Eniola Adeola Adejumo |
First Address | Rochester, NY 14618-3957 |
Second Address | Rochester, NY 14618-3957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 21/05/2014 |