Individual
EDEMA ALFRED OBASEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
93 SHOREVIEW DR APT 3, YONKERS, NY 10710-1328
(347) 965-9673
Mailing address
93 SHOREVIEW DR APT 3, YONKERS, NY 10710-1328
(347) 965-9673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
613841
NY
363LF0000X
Family Nurse Practitioner
Primary
F341120
NY
Other
Enumeration date
07/27/2009
Last updated
07/21/2022
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