Provider Demographics
NPI:1427192194
Name:DEN'RAN MEDICAL SERVICES P.C
Entity Type:Organization
Organization Name:DEN'RAN MEDICAL SERVICES P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEDOKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINYOOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-734-3376
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212073261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care