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Dr. TALIAT ABIODUN FAWOLE M.D

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1255795886
Provider Type
Individual Provider (NPI-1)
Credentials
M.D
Status
Active

Contact & Location

Address
7901 BROADWAY, ELMHURST, NY, 113731329
Phone
(718) 334-3542

Specialties & Taxonomies

Psychiatry & Neurology, Psychiatry Primary License: NE #33663
Psychiatry & Neurology, Child & Adolescent Psychiatry License: IN #01097670A
Psychiatry & Neurology, Psychiatry License: TX #FF6061092
Psychiatry & Neurology, Psychiatry License: IN #FF6066383
Student in an Organized Health Care Education/Training Program License: IN #FF6066383
Student in an Organized Health Care Education/Training Program License: TX #W0805
Student in an Organized Health Care Education/Training Program License: NE #33663

All Addresses

MAILING

7901 BROADWAY

ELMHURST, NY, 113731329

(718) 334-3542

LOCATION

7901 BROADWAY

ELMHURST, NY, 113731329

(718) 334-3542