Individual
MS. AMA OBENEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 AVENUE D, NEW YORK, NY 10009-6935
(212) 395-4400
Mailing address
20 BURLING LN APT 2K, NEW ROCHELLE, NY 10801-5665
(917) 870-5262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405661-01
NY
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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