IndividualActive
Adetokunbo Ajibulu, P.A.
NPI 1912919044 · Physician Assistant · Forest Hills, NY
Provider details
- NPI number
- 1912919044
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 010505 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11949 Union Tpke
Apt # 5d
Forest Hills, NY 11375-6151
Phone: (646) 321-6197
Approximate (ZIP-level) locationGet directions
Mailing address
374 Stockholm St
Brooklyn, NY 11237-4006
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2008-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.