Individual
ADEMUYIWA ONITIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11050 207TH ST, QUEENS VILLAGE, NY 11429-1706
(646) 705-6960
Mailing address
11050 207TH ST, QUEENS VILLAGE, NY 11429-1706
(646) 705-6960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
859145
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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