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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306913371 | NPPES |
New York | MEDICAID | 02073027 | |
New York | Other | 207287 |
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