Provider Demographics
NPI:1285889568
Name:ADEDUGBE, JOYCE OLUFUNKE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:OLUFUNKE
Last Name:ADEDUGBE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:437 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1819
Mailing Address - Country:US
Mailing Address - Phone:516-205-2430
Mailing Address - Fax:631-608-2879
Practice Address - Street 1:150 E SUNRISE HIGHWAY
Practice Address - Street 2:SUITE L20
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2539
Practice Address - Country:US
Practice Address - Phone:631-608-2878
Practice Address - Fax:631-608-2879
Is Sole Proprietor?:No
Enumeration Date:2008-11-30
Last Update Date:2024-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY304978363LA2200X
NYF304978363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health