| Exodus Clinic, Llc | |
|
7 Rieger Dr Monroe NY 10950-1628 | |
| (845) 341-0211 | |
| (845) 675-5007 |
| Full Name | Exodus Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 7 Rieger Dr, Monroe, New York |
| Authorized Official Name and Position | Olanrewaju O Somorin (CEO) |
| Authorized Official Contact | 8453410211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Clinic, Llc Po Box 4124 Middletown NY 10941-8124 Ph: (845) 341-0211 | Exodus Clinic, Llc 7 Rieger Dr Monroe NY 10950-1628 Ph: (845) 341-0211 |
| NPI Number | 1558692871 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558692871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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