Individual
NATALLIA OKSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 FRESH POND RD, RIDGEWOOD, NY 11385-3261
(718) 497-1919
Mailing address
156 JUNARD DR, BAY SHORE, NY 11706-4519
(718) 687-3971
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F348061
NY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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