Individual
ONYINYE AMAKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 EDELWEISS DR, WOODRIDGE, NY 12789-5806
(845) 693-4765
(845) 693-4765
Mailing address
3 EDELWEISS DR, WOODRIDGE, NY 12789-5806
(845) 693-4765
(845) 693-4765
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
676318-1
NY
163WH0200X
Home Health Registered Nurse
Primary
676318-1
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
676318-1
NY
163WR0400X
Rehabilitation Registered Nurse
676318-1
NY
163WW0000X
Wound Care Registered Nurse
676318-1
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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