Individual
DR. KOME S OSEGHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 MAIN STREET, SUITE 200, OGDENSBURG, NY 13669
(315) 713-6770
(877) 902-6131
Mailing address
305 MAIN ST STE 200, OGDENSBURG, NY 13669-1110
(315) 713-6770
(877) 902-6131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
272702
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03760652
—
NY
05
—
300118051
—
IN
Enumeration date
07/13/2010
Last updated
01/08/2026
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