Individual
MRS. ESEOSA JOY OVIASOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
969 ELLICOTT ST STE 100, BUFFALO, NY 14209-2324
(716) 908-7502
Mailing address
969 ELLICOTT ST STE 100, BUFFALO, NY 14209-2324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
825418-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407558
NY
Other
Enumeration date
12/02/2021
Last updated
09/20/2025
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