Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mojisola Ganiat Omotunde

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1609419415

Mojisola Ganiat Omotunde is a Psychiatric/Mental Health Registered Nurse in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

14805 116th Ave
Jamaica, NY 11436-1306
Phone: (347) 264-2034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 514437 (NY)

Record details

NPI number1609419415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2019
Last updated in NPPESOctober 24, 2019

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