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NPI Code Detail

MEDICARE: BOLAJI ROSIJI

MEDICARE: BOLAJI ROSIJI
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
1225X00000XOccupational Therapist022228NY

General Provider Information

NPI Number : 1639677248
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOLAJI ROSIJI
Provider Business Mailing Address
First Line : 9417 SEAVIEW AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 66TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5914
Country : US
Telephone Number : 646-723-7333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 01/29/2018

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Directions to “ BOLAJI ROSIJI ” Practice Location

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