Individual
MRS. KELECHI JANE OBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1985 MARCUS AVE # 100, NEW HYDE PARK, NY 11042-2008
(855) 201-4988
Mailing address
1515 MARSHALL ST, ELMONT, NY 11003-1333
(516) 528-5113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309704
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
309704
NY
Other
Enumeration date
03/25/2021
Last updated
09/09/2022
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