MEDICARE: DR. OLANREWAJU OLAYINKA SOMORIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	212042	NY
2	2084P0802X	Addiction Psychiatry Physician	39171	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679661979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLANREWAJU OLAYINKA SOMORIN MD

Provider Business Mailing Address
First Line	:	1200 STATE ROUTE 208 STE 15
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-4649
Country	:	US
Telephone Number	:	845-281-5009
Fax Number	:	845-913-9599

Provider Business Practice Location Address
First Line	:	1200 STATE ROUTE 208 STE 15
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-4649
Country	:	US
Telephone Number	:	845-837-1635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/09/2026

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