Provider Demographics
NPI:1518084664
Name:DELE-MICHAEL, ABIOLA OLAYEMI (MD)
Entity Type:Individual
Prefix:DR
First Name:ABIOLA
Middle Name:OLAYEMI
Last Name:DELE-MICHAEL
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:PO BOX 1343
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0010
Mailing Address - Country:US
Mailing Address - Phone:646-517-8966
Mailing Address - Fax:646-490-2227
Practice Address - Street 1:207 W 115TH ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2965
Practice Address - Country:US
Practice Address - Phone:646-517-8966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256271207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease