Individual
VICTORIA OWUSUAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
2334 TIEBOUT AVE, APT # 4E, BRONX, NY 10458-7310
(347) 282-0728
Mailing address
2334 TIEBOUT AVE, APT # 4E, BRONX, NY 10458-7310
(347) 282-0728
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018643
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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