MEDICARE: DR. OLADEHINDE KEHINDE ABEREOJE PT.

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	225100000X	Physical Therapist	013120	NY

General Provider Information

NPI Number	:	1558666792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLADEHINDE KEHINDE ABEREOJE PT.

Provider Business Mailing Address
First Line	:	1540 E 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3006
Country	:	US
Telephone Number	:	718-253-4950
Fax Number	:	718-253-4950

Provider Business Practice Location Address
First Line	:	1540 E 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3006
Country	:	US
Telephone Number	:	718-253-4950
Fax Number	:	718-253-4950

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

Provider Enumeration Date	:	01/19/2011
Last Update Date	:	01/19/2011

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