Individual
MR. HENRY O EDOBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14927 JAMAICA AVE STE 5, JAMAICA, NY 11435-4078
(718) 880-1974
(718) 880-1974
Mailing address
14927 JAMAICA AVE STE 5, JAMAICA, NY 11435-4078
(718) 880-1974
(718) 880-1974
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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