OLUTAYO OLAIDE OLASUPO

FAR ROCKAWAY, NY
NPI1114713054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  P128167)
Enumeration Date2025-04-17
Last Update Date2025-04-17
Business Address
DR. OLUTAYO OLAIDE OLASUPO MD
529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3615
Phone number: 718-327-7307
Mailing Address
DR. OLUTAYO OLAIDE OLASUPO MD
529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691-3615
Phone number: 718-327-7307
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