Odeyale, Oluwafemi S
Odeyale, Oluwafemi S is an individual health care provider with primary practice located at 12506 101St Ave , South Richmond Hill NY 11419. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Odeyale, Oluwafemi S can be contacted via phone (718) 849-2900.Contact Information
Primary practice address
12506 101St Ave
South Richmond Hill NY 11419
Phone: (718) 849-2900
Fax: (718) 559-5468
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 006528 | New York |
Profile Details
NPI number | 1528341609 |
---|---|
LBN Legal business name | Odeyale, Oluwafemi S |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2011 |
Last updated | Sep 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528341609 | NPPES |
New York | Other | N006528 | LICENSE |
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