NPI | 1679467435 |
---|---|
Doing Business As | ADULT HEALTH NP MODERN WELLNESS PRACTICE |
Entity Type | Organization |
Authorized Contact | OMOWUNMI O. ABAYOMI President 718-218-5666 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-05 |