Organization
DIOP OH FAMILY HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY ODEMENE (MANAGER)
(917) 400-1550
Entity
Organization
Contact information
Practice address
585 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
(917) 400-1550
Mailing address
585 KNICKERBOCKER AVE, BROOKLYN, NY 11221-4742
(917) 400-1550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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