Oludare Abayomi Adesanya, PEER COUNSELOR
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bronx, NY
NPI 1295396117 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1295396117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CARC-1206 (NY)
- Practice address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1197 - Phone
- (718) 918-4465
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CARC-1206 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CARC-1206 | NY | Yes |
Addresses
Primary practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Mailing address
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone (718) 918-4465
Other providers in Bronx, NY
- Roseline Adepetu
- Ademola Bernard Adeponle
- Michael S Ader
- Emmanuel Aderemi
- Emmanuel A Adesanlu
- Oyekunbi O Adesanya
- Folashade Adejumoke Adeshuko
- David Adesuyan
- Adeniyi Olabamijo Adetola
- Fausat Adenike Adetola
All providers in Bronx, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. 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.