Individual
EDITH OLUCHI OGBENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3425 VERNON BLVD, LONG ISLAND CITY, NY 11106-5121
(718) 726-8484
Mailing address
22548 111TH AVE, QUEENS VILLAGE, NY 11429-2803
(646) 270-8383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F335417-1
NY
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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