Adeniran, Adebukola Aina

Adeniran, Adebukola Aina is an individual health care provider with primary practice located at 133 E Main St Ste 1B , Babylon NY 11702-3517. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Adeniran, Adebukola Aina can be contacted via phone (631) 482-9880.

Contact Information

Primary practice address
133 E Main St Ste 1B Babylon NY 11702-3517
Phone: (631) 482-9880
Fax: (631) 482-9911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 553296-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 306216 New York

Profile Details

NPI number 1255689824
LBN Legal business name Adeniran, Adebukola Aina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated May 26th, 2020 - about 5 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 1255689824 NPPES
New York MEDICAID 03652600

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