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NPI Code Detail

MEDICARE: MR. ELIJAH AKINBAMIDELE HIS

MEDICARE:  MR. ELIJAH  AKINBAMIDELE  HIS
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
1237700000XHearing Instrument Specialist14000064438NY

General Provider Information

NPI Number : 1740053784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELIJAH AKINBAMIDELE HIS
Provider Business Mailing Address
First Line : 2451 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5915
Country : US
Telephone Number : 718-933-2175
Fax Number :
Provider Business Practice Location Address
First Line : 2451 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5915
Country : US
Telephone Number : 718-933-2175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “ MR. ELIJAH AKINBAMIDELE HIS” Practice Location

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