Moliat M Edundiran I, | |
72 Foster Blvd, Babylon, NY 11702-1503 | |
(343) 479-3253 | |
Not Available |
Full Name | Moliat M Edundiran I |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 72 Foster Blvd, Babylon, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912623133 | NPI | - | NPPES |
NA | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 338648 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Moliat M Edundiran I, 72 Foster Blvd, Babylon, NY 11702-1503 Ph: (347) 932-5364 | Moliat M Edundiran I, 72 Foster Blvd, Babylon, NY 11702-1503 Ph: (343) 479-3253 |
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Ms. Kathleen Marie Scott, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 181 W Main St, Babylon, NY 11702 Phone: 631-422-2300 Fax: 631-422-3398 | |
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