Organization
URBANE CARE NP, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOTARA ADEWALE DNP, NP-C, FNP-BC (FAMILY HEALTH NURSE PRACTITIONER)
(646) 465-4656
Entity
Organization
Contact information
Practice address
420 SOUTH AVENUE, 2ND FLOOR, EX SUITES, SUITE 125, STATEN ISLAND, NY 10303
(929) 367-0510
(929) 367-0511
Mailing address
42 AMITY PL, STATEN ISLAND, NY 10303-1713
(929) 367-0510
(929) 367-0511
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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