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NPI Code Detail

MEDICARE: OMOWUNMI O AREGBESOLA

MEDICARE:   OMOWUNMI O AREGBESOLA
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
1332B00000XDurable Medical Equipment & Medical SuppliesNY

General Provider Information

NPI Number : 1689536211
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMOWUNMI O AREGBESOLA
Provider Business Mailing Address
First Line : 5811 AVENUE N # 2R
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4127
Country : US
Telephone Number : 347-598-4838
Fax Number :
Provider Business Practice Location Address
First Line : 5811 AVENUE N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4127
Country : US
Telephone Number : 347-598-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ OMOWUNMI O AREGBESOLA ” Practice Location

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