Prince Abidoye
Individual provider Active NPI Social Worker · Brooklyn, NY
NPI 1003530767 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1003530767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1305 E 40TH St
Brooklyn, NY 11234-2902 - Phone
- (347) 481-0226
- NPI assigned
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1305 E 40TH St
Brooklyn, NY 11234-2902
Mailing address
1305 E 40TH St
Brooklyn, NY 11234-2902
Phone (347) 481-0226
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.