Individual
MS. KEMI A OMOTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MHSA
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8268
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
311017
NY
Other
Enumeration date
03/20/2019
Last updated
09/02/2025
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