Exodushealth Medical, Pc in Monroe - Psychologist
Exodushealth Medical, Pc - NPI 1083883458
Exodushealth Medical, Pc is a Psychologist in Monroe, New York. Exodushealth Medical, Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Exodushealth Medical, Pc is 1083883458. The last update date is 2022-07-21.
Exodushealth Medical, Pc's current location address is 1200 State Route 208, Monroe, New York. You can contact this provider via phone number 8458371635 and fax number 8452316078. The mailing address for Exodushealth Medical, Pc is 1200 State Route 208, Monroe, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Exodushealth Medical, Pc |
|---|---|
| Address | 1200 State Route 208, Monroe, New York |
| Phone Number | 8458371635 |
| Fax Number | 8452316078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Somorin Olanrewaju |
| Credentials | MD |
| Telephone Number | 8452942595 |
NPI Number Detail
| NPI Number | 1083883458 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1200 State Route 208 |
|---|---|
| City | Monroe |
| State | New York (NY) |
| Post Code | 109504648 |
| Phone Number | 8458371635 |
| Fax Number | 8452316078 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 212042 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Exodushealth Medical, Pc by the Centers for Medicare & Medicaid Services?
The Exodushealth Medical, Pc has been issued the NPI (National Provider Identifier) 1083883458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Exodushealth Medical, Pc is located?
The Exodushealth Medical, Pc is situated at the following address: 1200 State Route 208, Monroe, NY, 109504648.
What is Exodushealth Medical, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Exodushealth Medical, Pc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did Exodushealth Medical, Pc receive its 1083883458 assignment from the Centers for Medicare & Medicaid Services?
The Exodushealth Medical, Pc was assigned its 1083883458 on 2008-02-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Exodushealth Medical, Pc last refreshed?
The information related to the Exodushealth Medical, Pc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.