Most Relevant Information
Provider Data
| NPI Number: | 1003461138 |
| Provider Name: | ODUNAYO OMOWUNMI OLUMOROTI |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 766840 |
Most Important Dates
| Enumeration Date: | 08/06/2019 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
1464 E 58TH ST
BROOKLYN
NY
112344122
Practice Location Phone/Fax
| Phone: | 3474242645 |
| Fax: |
Provider Mailing Location
1464 E 58TH ST
BROOKLYN
NY
112344122
Provider Mailing Phone/Fax
| Phone: | 3474242645 |
| Fax: |