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ADEKEMI EGUNSOLA

Individual Provider (NPI-1) Active

Colon & Rectal Surgery

Provider Information

NPI Number
1285053223
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
9525 QUEENS BLVD FL 5, REGO PARK, NY, 113744510
Phone
(718) 575-9595

Specialties & Taxonomies

Colon & Rectal Surgery License: NY #298797
Colon & Rectal Surgery Primary License: GA #98613

All Addresses

LOCATION

9525 QUEENS BLVD FL 5

REGO PARK, NY, 113744510

(718) 575-9595

MAILING

900 NORTHERN BLVD STE 100

GREAT NECK, NY, 110215302

(516) 730-2100