Individual
IFEOMA ONYEIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24111 147TH AVE, ROSEDALE, NY 11422-2455
(718) 978-8667
Mailing address
24111 147TH AVE, ROSEDALE, NY 11422-2455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305981-1
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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