Individual provider · Type 1 NPI

Evelyn Momodu

Student in an Organized Health Care Education/Training Program · Mount Vernon, NY

NPI number 1316544356 Active

Practice location

11 W Prospect Ave
Mount Vernon, NY 10550-2017

Call (914) 668-8938 Map

Fax (914) 668-2545

Mailing address

845 N Broadway
White Plains, NY 10603-2403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1316544356

Evelyn Momodu's National Provider Identifier is 1316544356, issued on Oct 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Vernon, NY. The record was last updated on Oct 2, 2020.