Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 016844 | NY |
NPI | 1992986384 |
---|---|
Provider Name | Adeyinka M Oginni |
First Address | Brooklyn, NY 11235-5015 |
Second Address | Brooklyn, NY 11235-5015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 23/03/2009 |