- Practice location
- 1200 State Route 208, Monroe, NY 10950-4648
- Phone
- 845-281-5009
- Fax
- 845-231-6078
- Last updated
- November 13, 2026
Exodushealth Medical, PC is a healthcare organization based in Monroe, NY. Exodushealth Medical, PC practices in Monroe, NY. The NPI Number for Exodushealth Medical, PC is 1083883458 and holds a License No. 212042 (NY). The current practice location address for Exodushealth Medical, PC is 1200 State Route 208, Monroe, NY 10950-4648 and can be reached out via phone at 845-281-5009 and via fax at 845-231-6078.
Provider Profile Details
- NPI Number
- 1083883458
- Provider Name
- Exodushealth Medical, PC
- Provider Entity Type
- Organization
- Address
- 1200 State Route 208, Monroe, NY 10950-4648
- Phone Number
- 845-281-5009
- Fax Number
- 845-231-6078
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Organization Subpart
- No
- Authorized Official
- Olanrewaju Somorin · Enrollment Supervisor · 845-837-1635
- Provider Enumeration Date
- February 29, 2008
- Last Update Date
- November 13, 2026
- Certification Date
- November 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 State Route 208
Monroe, NY 10950-4648 - City
- Monroe
- State
- New York
- Zip
- 10950-4648
- Phone Number
- 845-281-5009
- Fax Number
- 845-231-6078
Provider Business Mailing Address Details
- Address
- 420 E Main St
Middletown, NY 10940-2516 - City
- Middletown
- State
- NY
- Zip
- 10940-2516
- Phone Number
- 845-294-2595
License Information
- License Number (1)
- 212042
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Exodushealth Medical, PC?
The NPI number of Exodushealth Medical, PC is 1083883458. It was assigned on February 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Exodushealth Medical, PC?
Exodushealth Medical, PC is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NY under license number 212042.
Where does Exodushealth Medical, PC practice?
The practice location is 1200 State Route 208, Monroe, NY 10950-4648. The office can be reached at 845-281-5009 (phone) or 845-231-6078 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083883458 directly on the NPPES registry website.