Organization
PS/MS3
Active
Parent organization
DOE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOE
Authorized official
MRS. NGOZI OPURUM (REGISTERED PROFESSIONAL NURSE)
(718) 584-6112
Entity
Organization
Contact information
Practice address
11 OWEN ROAD, NEW ROCHELLE, NY 10804
(347) 495-7591
Mailing address
11 OWEN RD, NEW ROCHELLE, NY 10804-2126
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
472293
NY
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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