Adeyemo, Abidemi Shadiyat

Adeyemo, Abidemi Shadiyat is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Adeyemo, Abidemi Shadiyat can be contacted via phone (718) 667-2300.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 818966 New York

Profile Details

NPI number 1326759267
LBN Legal business name Adeyemo, Abidemi Shadiyat
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326759267 NPPES
New York MEDICAID 2997157

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