Individual
DR. ENOSAKHARE BERNARD OMORUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1000 WATERS PL, BRONX, NY 10461-2701
(718) 239-3639
Mailing address
4755 WHITE PLAINS RD, APT 6G, BRONX, NY 10470-1115
(718) 975-7691
(718) 975-7691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
003109
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
003109
NY
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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