Individual
MOHAMMED LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2508
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
685521
NY
Other
Enumeration date
12/29/2017
Last updated
03/23/2018
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