Modinatu Ajomagberin
Case Manager/Care Coordinator in Bronx, NY. Individual provider (NPI-1).
NPI number1457230989
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1457230989
- Entity type
- Individual (NPI-1)
- Name
- Modinatu Ajomagberin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2025
- Certification date
- Aug 28, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
967 Kelly St Apt 6jBronx, NY 10459-3239
Phone 917-975-8135
Mailing address
967 Kelly St Apt 6jBronx, NY 10459-3239
Phone 917-975-8135
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