Bamidele Omowumi Agada, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Laurelton, NY. Bamidele Omowumi Agada, NURSE PRACTITIONER NPI is 1467921122. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
13528 231ST ST
LAURELTON, NY
ZIP 11413-532
Phone: (646) 331-9356
The NPI 1467921122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/24/2018 and was last updated on 2/2/2024.