Individual
MS. CHINYERE OZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-2769
(718) 883-6203
Mailing address
79-01 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 883-2769
(718) 883-6203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/20/2006
Last updated
09/01/2010
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