Omoyefa, Abidemi

Omoyefa, Abidemi is an sole proprietor health care provider with primary practice located at 1324 Forest Ave Ste 104 , Staten Island NY 10302-2044. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Omoyefa, Abidemi can be contacted via phone (347) 791-9818.

Contact Information

Primary practice address
1324 Forest Ave Ste 104 Staten Island NY 10302-2044
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 510765 New York

Profile Details

NPI number 1497445068
LBN Legal business name Omoyefa, Abidemi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2023
Last updated May 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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