Exodus Health Medical, Pc

NPI 1083883458 - Psychologist - 103T00000X

NPI Details
NPI 1083883458
Enumeration Date 02/29/2008
Last Updated 02/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name OLANREWAJU OLANREWAJU
Position OWNER
Phone (845) 294-2595
Fax
Practice Location
420 E MAIN ST
MIDDLETOWN NY, 10940-2516, US
Phone (845) 294-2595
Fax
Business Location
420 E MAIN ST
MIDDLETOWN NY, 10940-2516, US
Phone (845) 294-2595
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New York
License Number 212042
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According to our database, Exodus Health Medical, Pc NPI is 1083883458, taxonomy code is 103T00000X and license number is 212042, license state is located at New York. Exodus Health Medical, Pc physically located at 420 E Main St, Middletown NY, 10940-2516. NPI Number 1033115704 has the healthcare provider type.

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1083883458 NPI number is provided on an as is basis without warranty of any kind. 1083883458 is maintained by the National Plan & Provider Enumeration System. The contents of Exodus Health Medical, Pc are for informational purposes only.