Individual
INNOCENT A OBUAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2255 CROPSEY AVE, BROOKLYN, NY 11214-5705
(718) 266-2270
Mailing address
9156 195TH ST APT 2I, HOLLIS, NY 11423-3525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013009
NY
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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