Individual
CHINYERE T OHADOMA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040
(516) 349-3051
Mailing address
909 E 220TH ST, BRONX, NY 10469-1013
(917) 816-0050
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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