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EXODUS CLINIC LLC
NPI 1689988149
Clinic/Center in Monroe, NY

Active since July 27, 2010
671 STATE ROUTE 17M, MONROE, NY 10950(845) 837-1635(845) 837-1634 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Exodus Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXODUS CLINIC LLC (NPI 1689988149) is a healthcare organization registered as a clinic/center in Monroe, New York and active in the NPI registry since July 2010. The organization lists Olanrewaju Somorin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689988149
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEXODUS CLINIC LLC
Location Address671 STATE ROUTE 17MMonroe, NY 10950-3318
Mailing AddressPo Box 4124Middletown, NY 10941-8124 · (845) 837-1635 · Fax (845) 837-1634
Phone(845) 837-1635
Fax(845) 837-1634
Organization SubpartNo
Authorized OfficialOlanrewaju SomorinCeo · (845) 837-1635
Enumeration DateJuly 27, 2010
✔ NPI 1689988149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
671 STATE ROUTE 17M, Monroe, NY 10950
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Other Identifiers 1

Other#2008-144NY · Oasas Application Certification

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EILEEN SANDERS CASAC-T
Counselor (Addiction (Substance Use Disorder))
671 STATE ROUTE 17M
MONROE, NY 10950
Orange County (845) 837-1635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exodus Clinic LLC's NPI number?

The NPI number for Exodus Clinic LLC is 1689988149. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Exodus Clinic LLC located?

Exodus Clinic LLC is located at 671 State Route 17M, Monroe, NY 10950. The listed phone number is (845) 837-1635.

What is Exodus Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Exodus Clinic LLC was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.