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Contact Information

ADESAYO O AKINSANYA, PHARM.D.
2608 ROUTE 112
MEDFORD, NY11763-2578
 Phone: 631-475-4476
 Fax: 631-475-4288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADESAYO O AKINSANYA · (Male)

NPI # 1396231437
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 07/01/2018
Last updated 01/07/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 064086
  • NY License # I064086
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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