Individual
MS. CORA ERAMEH ILEGBAMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11946 235TH ST PH, JAMAICA, NY 11411-2322
(917) 535-0003
Mailing address
11946 235TH ST PH, JAMAICA, NY 11411-2322
(917) 535-0003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
610857-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06878784
—
NY
05
—
06878793
—
NY
Enumeration date
05/31/2024
Last updated
05/31/2024
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