Individual
DR. STEPHEN OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6290
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6290
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430542
—
NY
Enumeration date
02/10/2007
Last updated
07/08/2007
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