Olanrewaju Damilola Adedeji | Bronx, NY • PECOS Search

Olanrewaju Damilola Adedeji

Registered Nurse

Nursing Service Providers

3033 Tiemann Ave, Bronx, NY 10469-3215

PECOS Enrollment

Based on the most recent information from CMS, provider Olanrewaju Damilola Adedeji does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1790256675
Provider Type
Individual
Full Name
Adedeji, Olanrewaju Damilola
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/17/2018
Last Updated
12/17/2018

Contact Information

Practice Location

3033 Tiemann Ave, Bronx, NY 10469-3215

Unlisted Fax

Mailing Location

3033 Tiemann Ave, Bronx, NY 10469-3215

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 754718 New York