Exodus Clinic LLC

NPI #1689988149 in Monroe, New York

Provider Information

NPI Number: 1689988149
Entity Type: Organization
Organization Name: Exodus Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jul 27, 2010
Last Updated: Jul 27, 2010

Practice Location

Address: 671 STATE ROUTE 17M
City: Monroe
State: New York
ZIP Code: 10950-3318
Phone: (845) 837-1635

Authorized Official

Name: DR. OLANREWAJU SOMORIN, M.D.
Title: CEO
Phone: (845) 837-1635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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