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Contact Information

FATAI ADEGBENRO
14140 182ND ST
SPRINGFIELD GARDEN
SPRINGFIELD GARDENS, NY11413-3037
 Phone: 347-406-2022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for FATAI ADEGBENRO · (Male)

NPI # 1306269451
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2014
Last updated 01/27/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 652477-1
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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