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NPI 1023339397

IndividualActive

Adewale Adebo, LPN

NPI 1023339397 · Licensed Practical Nurse · Queens Village, NY

Provider details

NPI number: 1023339397
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Male
Sole proprietor: Yes
License: 286969 (NY)

Practice location

22121 Jamaica Ave

2 Floor

Queens Village, NY 11428-2015

Phone: (718) 468-6923

Fax: (718) 468-6925

More NY providers

Mailing address

941 Crescent St

Brooklyn, NY 11208-5515

Registry dates

Enumerated: 2010-06-21
Last updated: 2010-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adewale Adebo, LPN — NPI 1023339397, Queens Village, NY | NPI Central