Individual
EBERE OSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112- 66 DILLON STREET, JAMAICA, QUEENS, NY 11433
(717) 926-7270
Mailing address
11266 DILLON ST, JAMAICA, NY 11433-3825
(718) 926-7270
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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