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Contact Information

SAMSON ADEGBESAN
16320 122ND AVE
JAMAICA, NY11434-2520
 Phone: 917-224-0289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SAMSON ADEGBESAN · (Male)

NPI # 1205371424
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2016
Last updated 12/23/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 613615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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