Provider Demographics
NPI:1558666792
Name:ABEREOJE, OLADEHINDE KEHINDE (PT)
Entity Type:Individual
Prefix:DR
First Name:OLADEHINDE
Middle Name:KEHINDE
Last Name:ABEREOJE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3006
Mailing Address - Country:US
Mailing Address - Phone:718-253-4950
Mailing Address - Fax:718-253-4950
Practice Address - Street 1:1540 E 45TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3006
Practice Address - Country:US
Practice Address - Phone:718-253-4950
Practice Address - Fax:718-253-4950
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013120225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist