Individual
UWA JULIET ORIAKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 986-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 986-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F341595-1
NY
Other
Enumeration date
05/11/2017
Last updated
06/08/2017
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