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Individual

OBIOMA ONAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
(718) 772-7951
(718) 808-0043
Mailing address
21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
(718) 772-7951
(718) 808-0043

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310779
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
713291
NY
Enumeration date
05/10/2016
Last updated
07/29/2025
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