IndividualActive
Adelagun Adelaja, NP
NPI 1114694858 · Psychiatric/Mental Health Nurse Practitioner · Arverne, NY
Provider details
- NPI number
- 1114694858
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 403404 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6259 De Costa Ave Fl 1
Arverne, NY 11692-1335
Phone: (347) 824-8447
Approximate (ZIP-level) locationGet directions
Mailing address
6259 De Costa Ave Fl 1
Arverne, NY 11692-1335
Registry dates
- Enumerated
- 2021-08-29
- Last updated
- 2021-08-29
- Certified
- 2021-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.