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Individual

CHINONYE O EDEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
6 ALMOND ST, GLOVERSVILLE, NY 12078-4103
(718) 790-2883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
614592
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403228-01
NY

Other

Enumeration date
08/10/2010
Last updated
06/13/2025
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