OLUWANIFEMI OLUWATISE OGUNBADEJO

BROOKLYN, NY
NPI1538534599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  019336)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- OLUWANIFEMI OLUWATISE OGUNBADEJO PA
811 NEW YORK AVE ROOM 201
BROOKLYN, NY 11203-2720
Phone number: 347-443-5632
Mailing Address
-- OLUWANIFEMI OLUWATISE OGUNBADEJO PA
811 NEW YORK AVE ROOM 201
BROOKLYN, NY 11203-2720
Phone number: