Individual
MS. ULOMA IJOMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 593-7800
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F336677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407124688
NPI
—
Enumeration date
12/02/2011
Last updated
09/11/2015
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