Individual
OLUWAYEMISI AMOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 GROTE ST, BRONX, NY 10460-1007
(718) 561-2052
Mailing address
846 E 227TH ST, BRONX, NY 10466-4421
(917) 495-2912
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
019951
NY
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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