Individual
CHIKODI OBICHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ASH LN, VALLEY STREAM, NY 11581-1702
(917) 536-8517
Mailing address
12 ASH LN, VALLEY STREAM, NY 11581-1702
(917) 536-8517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
432172
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432172
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2021
Last updated
05/23/2022
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