Individual ProviderAyomide Olusiji SoremiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1995 1st Ave, 10029, New York, NY 10029(332) 733-8506PECOS EnrollmentBased on the most recent information from CMS, provider Ayomide Olusiji Soremi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1013645365Provider TypeIndividualFull NameSoremi, Ayomide OlusijiCredentialMDGenderMaleSole ProprietorNoEnumeration Date8/12/2022Last Updated8/12/2022Contact InformationPractice LocationPractice Address1995 1st Ave, 10029, New York, NY 10029Phone(332) 733-8506FaxUnlisted FaxMailing LocationMailing Address1901 1st Ave, New York, NY 10029-7494PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer