Provider Demographics
NPI:1245332345
Name:OYEKU, SUZETTE OLUBUSOLA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:OLUBUSOLA
Last Name:OYEKU
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:4901 HENRY HUDSON PKWY W
Mailing Address - Street 2:APT 8G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3217
Mailing Address - Country:US
Mailing Address - Phone:718-796-3403
Mailing Address - Fax:
Practice Address - Street 1:3444 KOSSUTH AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL AT MONTEFIORE/FAMILY CARE CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2410
Practice Address - Country:US
Practice Address - Phone:718-920-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2011-10-13
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Provider Licenses
StateLicense IDTaxonomies
NY240819208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH99727Medicare UPIN