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Dr. Ojirese Oluwaminiyi Momoh, DO
Student in an Organized Health Care Education/Training Program in West Islip, New York
NPI 1033796081

Ojirese Oluwaminiyi Momoh is a Student in an Organized Health Care Education/Training Program based in New York, NY. Ojirese Oluwaminiyi Momoh practices in West Islip, NY and has the professional credentials of DO. The NPI Number for Ojirese Oluwaminiyi Momoh is 1033796081 and holds a License No. 321120 (New York).

The current practice location address for Ojirese Oluwaminiyi Momoh is 1000 Montauk Hwy, West Islip, NY and can be reached out via phone at 631-376-3000.

Location: 1000 Montauk Hwy, West Islip, NY, 10030-1960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033796081
Provider Name
Ojirese Oluwaminiyi Momoh
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Montauk Hwy, West Islip, NY, 10030-1960
Phone Number
631-376-3000
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4927
Phone Number
631-376-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
321120 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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