Bamidele Omowumi Agada, NURSE PRACTITIONER | |
13528 231st St, Laurelton, NY 11413-2532 | |
(646) 331-9356 | |
Not Available |
Full Name | Bamidele Omowumi Agada |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 13528 231st St, Laurelton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467921122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F405177 (New York) | Primary |
163WG0000X | Registered Nurse - General Practice | 569577-1 (New York) | Secondary |
Entity Name | St John's Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203 |
Mailing Address | Practice Location Address |
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Bamidele Omowumi Agada, NURSE PRACTITIONER 327 Beach 19th St, Far Rockaway, NY 11691-4423 Ph: (718) 869-7248 | Bamidele Omowumi Agada, NURSE PRACTITIONER 13528 231st St, Laurelton, NY 11413-2532 Ph: (646) 331-9356 |
Kristine Cooper, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22711 130th Ave, Laurelton, NY 11413 Phone: 646-207-8437 | |
Agnes Stewart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13430 220th St, Laurelton, NY 11413 Phone: 718-949-5924 | |
Antonette Mccurdy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22919 Merrick Blvd # 279, Laurelton, NY 11413 Phone: 718-930-9470 | |
Joselle Montelus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22414 Merrick Blvd, Laurelton, NY 11413 Phone: 718-949-6433 | |
Mr. Engelbert Bertin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13028 222nd St, Laurelton, NY 11413 Phone: 347-528-2130 Fax: 718-276-4508 |