Individual
MOBOLAJI ODEWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, MS NP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 305-5756
Mailing address
60 HAVEN AVE, NEW YORK, NY 10032-2604
(972) 900-7210
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432641
NY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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