Individual
MS. CATHERINE IJEDIMMA ONONUGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
159 HAWTHORNE AVE APT 264, CENTRAL ISLIP, NY 11722-1353
(631) 855-2164
Mailing address
159 HAWTHORNE AVE APT 264, CENTRAL ISLIP, NY 11722-1353
(631) 855-2164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
765859
NY
164W00000X
Licensed Practical Nurse
2876761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02902981
—
NY
Enumeration date
11/20/2007
Last updated
04/17/2020
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