Individual
AZIZAH ODESESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13119 233RD ST, ROSEDALE, NY 11422-1305
(516) 713-7065
Mailing address
13119 233RD ST, ROSEDALE, NY 11422-1305
(516) 713-7065
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
805255
NY
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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