Individual
OMOSIVIE M AGHAHOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PATCHEN AVE, BROOKLYN, NY 11233-1907
(718) 693-6655
Mailing address
250 PATCHEN AVE, BROOKLYN, NY 11233-1907
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
443633
NY
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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