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Individual

TEDDY OSAZUWA UZAMERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
18641 ELMIRA AVE, SAINT ALBANS, NY 11412-1517
(347) 475-5596

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
031625
NY
363AM0700X
Medical Physician Assistant
NY

Other

Enumeration date
02/12/2024
Last updated
04/19/2024
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