Individual
JEANETTE OBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
120 ALCOTT PL, BRONX, NY 10475-4201
(917) 825-7399
Mailing address
120 ALCOTT PL, BRONX, NY 10475-4201
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
965429
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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