Individual
ANTHONIA ODUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11610 MEXICO ST, SAINT ALBANS, NY 11412-3035
(347) 530-7784
Mailing address
11610 MEXICO ST, SAINT ALBANS, NY 11412-3035
(347) 530-7784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352376-01
NY
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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