National Provider Identifier
Ajewole Medical PLLC
Ajewole Medical PLLC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 685-2525.
Profile Overview
- NPI
- 1073271540
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- December 02, 2021
- Last Updated
- December 02, 2021
Practice Location
- 3 Upton Park
- Rochester, NY 14607-1500
Phone: (585) 685-2525
Mailing Address
- 338 Harris Hill RD Ste 207
- Williamsville, NY 14221-7470
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1073271540
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Ajewole Medical PLLC
- Mailing Street Address
- 338 Harris Hill RD Ste 207
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7470
- Mailing Country
- US
- Mailing Phone
- (716) 634-4798
- Mailing Fax
- (716) 634-0987
- Practice Street Address
- 3 Upton Park
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1500
- Practice Country
- US
- Practice Phone
- (585) 685-2525
- Practice Fax
- (585) 385-8502
- Enumeration Date
- December 02, 2021
- Last Updated
- December 02, 2021
- Authorized Official Last Name
- Ajewole
- Authorized Official First Name
- Sunkanmi
- Authorized Official Title
- Sole Member
- Authorized Official Phone
- (585) 687-7282
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)