Individual
WINEFRED OYEBODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DEHNHOFF AVE, FREEPORT, NY 11520-2305
(516) 304-8869
Mailing address
100 DEHNHOFF AVE, FREEPORT, NY 11520
(516) 223-0525
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
368090031
NY
252Y00000X
Early Intervention Provider Agency
Primary
24714
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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