Provider Demographics
NPI:1174574461
Name:AKINYOOYE, ADEDOKUN (MD)
Entity type:Individual
Prefix:DR
First Name:ADEDOKUN
Middle Name:
Last Name:AKINYOOYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E ARGYLE ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-4330
Mailing Address - Country:US
Mailing Address - Phone:646-734-3376
Mailing Address - Fax:
Practice Address - Street 1:11410 MERRICK BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1335
Practice Address - Country:US
Practice Address - Phone:718-206-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212073208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics