Basic Information
| Provider Information | |||||||||
| NPI: | 1417247420 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AFOLABI | ||||||||
| FirstName: | KOLA | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 550, 2 CATHARINE STREET | ||||||||
| Address2: | MID-HUDSON ANETHESIOLOGISTS, PC | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668852318 | ||||||||
| FaxNumber: | 8457902675 | ||||||||
| Practice Location | |||||||||
| Address1: | 70 DUBOIS STREET | ||||||||
| Address2: | ST. LUKES/CORNWALL HOSPITAL | ||||||||
| City: | NEWBURGH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8455614400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2011 | ||||||||
| LastUpdateDate: | 11/18/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 26588 | WV | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 281273-1 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.