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Individual

MR. IJEUWA PETER OKPARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
19411 112TH AVE, SAINT ALBANS, NY 11412-2022
(917) 795-6733

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
77544401
NY

Other

Enumeration date
10/09/2025
Last updated
10/09/2025
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