Individual
IFEOMA O OGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
19449 112TH AVE, SAINT ALBANS, NY 11412-2022
(347) 238-8211
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
791282
NY
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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