Adegoke, Bolanle Kudiratu

Adegoke, Bolanle Kudiratu is an sole proprietor health care provider with primary practice located at 493 Nostrand Ave , Brooklyn NY 11216-5117. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Adegoke, Bolanle Kudiratu can be contacted via phone (718) 230-1379.

Contact Information

Primary practice address
493 Nostrand Ave Brooklyn NY 11216-5117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 701175-1 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X F403746 New York

Profile Details

NPI number 1952775611
LBN Legal business name Adegoke, Bolanle Kudiratu
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2015
Last updated May 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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