Agada, Bamidele Omowumi

Agada, Bamidele Omowumi is an individual health care provider with primary practice located at 13528 231St St , Laurelton NY 11413-2532. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Agada, Bamidele Omowumi can be contacted via phone (646) 331-9356.

Contact Information

Primary practice address
13528 231St St Laurelton NY 11413-2532
Phone: (646) 331-9356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F405177 New York
Nursing Service Providers / General Practice 163WG0000X 569577-1 New York

Profile Details

NPI number 1467921122
LBN Legal business name Agada, Bamidele Omowumi
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2018
Last updated Feb 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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