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Individual
FENDIA OSIRUS
Active
Individual
FENDIA OSIRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
661380
NY
363LA2200X
Adult Health Nurse Practitioner
310348
NY
Other
Enumeration date
10/19/2012
Last updated
04/13/2026
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