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Individual

JEMIMAH OSAFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 JERICHO TPKE , SYOSSET, N/A, SYOSSET, NY 11791
(516) 393-5966
Mailing address
1418 PROSPECT AVE APT 1C, BRONX, NY 10459-1251
(347) 961-6629

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/19/2024
Last updated
08/06/2025
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