Individual
NDIDI MARTINS OSUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 TILDEN ST FL 2, BRONX, NY 10467-6191
(917) 340-4008
Mailing address
727 TILDEN ST FL 2, BRONX, NY 10467-6191
(917) 340-4008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02681056
—
NY
Enumeration date
11/28/2007
Last updated
09/11/2019
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