Adelaja, Abiola O

Adelaja, Abiola O is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Adelaja, Abiola O can be contacted via phone (585) 275-4501.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 275-4501
Fax: (212) 423-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 261503 New York

Profile Details

NPI number 1790948917
LBN Legal business name Adelaja, Abiola O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Aug 10th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790948917 NPPES
New York MEDICAID 03409809

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