Adeola, Moyosore

Adeola, Moyosore is an individual health care provider with primary practice located at 1775 Grand Concourse , Bronx NY 10453-8202. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Adeola, Moyosore can be contacted via phone (914) 591-7300.

Contact Information

Primary practice address
1775 Grand Concourse Bronx NY 10453-8202
Phone: (914) 591-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528624939
LBN Legal business name Adeola, Moyosore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated May 13th, 2019 - 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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