MEDICARE: ABIMBOLA AYORINDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	059015	NY

General Provider Information

NPI Number	:	1417356718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIMBOLA AYORINDE

Provider Business Mailing Address
First Line	:	648 SCHROEDERS AVE FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-2234
Country	:	US
Telephone Number	:	718-282-5504
Fax Number	:	718-282-5505

Provider Business Practice Location Address
First Line	:	2606 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-4152
Country	:	US
Telephone Number	:	718-282-5504
Fax Number	:	718-282-5505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	06/18/2026

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Directions to “ ABIMBOLA AYORINDE ” Practice Location

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