Provider Demographics
NPI:1083476501
Name:ALABI-AJIDAGBA, YUSUFF
Entity Type:Individual
Prefix:
First Name:YUSUFF
Middle Name:
Last Name:ALABI-AJIDAGBA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YUSUFF
Other - Middle Name:
Other - Last Name:ALABI-AJIDAGBA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:255 E 18TH ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4720
Mailing Address - Country:US
Mailing Address - Phone:718-502-4227
Mailing Address - Fax:
Practice Address - Street 1:255 E 18TH ST APT 5D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4720
Practice Address - Country:US
Practice Address - Phone:718-502-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management