MEDICARE: DR. BABATUNDE ADEYEMI M.D.

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	207K00000X	Allergy & Immunology Physician	2262761	NY
2	207R00000X	Internal Medicine Physician	226276	NY

General Provider Information

NPI Number	:	1447205836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BABATUNDE ADEYEMI M.D.

Provider Business Mailing Address
First Line	:	1711 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3319
Country	:	US
Telephone Number	:	718-649-6324
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3319
Country	:	US
Telephone Number	:	718-649-6324
Fax Number	:

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	12/09/2016

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