Individual
MR. EGHOSA O. OSAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R-PAC
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
3401 FOSTER AVE, APT 5F, BROOKLYN, NY 11210-6409
(347) 261-6849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016310-1
NY
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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