OMOTARA JOAN ADEWALE

STATEN ISLAND, NY
NPI1366985251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F341251-1)
Enumeration Date2016-11-23
Last Update Date2025-11-07
Business Address
OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC
260 CHRISTOPHER LN STE 201
STATEN ISLAND, NY 10314-1650
Phone number: 929-367-0510
Mailing Address
OMOTARA JOAN ADEWALE MSN, NP-C, FNP-BC
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-2000