IndividualActive
Adeolu Ilesanmi, MD
NPI 1962957134 · Child & Adolescent Psychiatry Physician · New York, NY
Provider details
- NPI number
- 1962957134
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 311181 (NY)
Practice location
622 W 168th St
New York, NY 10032-3720
Phone: (347) 559-1735
Fax: (336) 900-1412
Mailing address
622 W 168th St
New York, NY 10032-3720
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.