Lincoln Olalekan Adeyemi, PA
Physician Assistant in Jamaica, NY. Individual provider (NPI-1).
NPI number1649378399
StatusActive
Last updated in NPPESAug 9, 2007
Details
- NPI
- 1649378399
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lincoln Olalekan Adeyemi
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Aug 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 010990 | NY | Yes |
Practice location
82-68 164th StJamaica, NY 11432-1121
Phone 718-883-3225 · Fax 718-883-6193
Mailing address
506 Lenox AvenueNew York, NY 10037
Phone 718-873-7195 · Fax 212-939-8409
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