Bolaji, Olubunmi Abiye

Bolaji, Olubunmi Abiye is an individual health care provider with primary practice located at 6080 Jericho Tpke Ste 205 , Commack NY 11725-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Bolaji, Olubunmi Abiye can be contacted via phone (631) 486-4834.

Contact Information

Primary practice address
6080 Jericho Tpke Ste 205 Commack NY 11725-2808
Phone: (631) 486-4834
Fax: (631) 486-5029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 254613 New York

Profile Details

NPI number 1619100633
LBN Legal business name Bolaji, Olubunmi Abiye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2009
Last updated May 2nd, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619100633 NPPES
New York MEDICAID 03203005

Popular Providers