Fagbemi, Moronkeji Olapade

Fagbemi, Moronkeji Olapade is an sole proprietor health care provider with primary practice located at 3 Albert Ct , Valley Stream NY 11580-4944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fagbemi, Moronkeji Olapade can be contacted via phone (516) 285-5683.

Contact Information

Primary practice address
3 Albert Ct Valley Stream NY 11580-4944
Phone: (516) 285-5683
Fax: (516) 285-1226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207287 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 207287 New York

Profile Details

NPI number 1306913371
LBN Legal business name Fagbemi, Moronkeji Olapade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1306913371 NPPES
New York MEDICAID 02073027
New York Other 207287

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