Individual
ABIEYUWA OGBETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8680 208TH ST, APT-2H, QUEENS VILLAGE, NY 11427-1607
(718) 671-2100
Mailing address
8680 208TH ST, APT-2H, QUEENS VILLAGE, NY 11427-1607
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626725
NY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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