Shoroye, Olaseni Alexander

Shoroye, Olaseni Alexander is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shoroye, Olaseni Alexander can be contacted via phone (585) 922-5067.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Phone: (585) 922-5067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219348-1 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201653 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038737 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 13610 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 219348 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 219348-1 New York

Profile Details

NPI number 1053376509
LBN Legal business name Shoroye, Olaseni Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 31st, 2023 - about last year

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 1053376509 NPPES
Tennessee MEDICAID Q014694
Tennessee Other P01198012
Tennessee MEDICAID 1053376509
Tennessee MEDICAID 010133734

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