Individual
IVIE OMORUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 WYCKOFF AVE APT 3R, BROOKLYN, NY 11237-5310
Mailing address
210 WYCKOFF AVE APT 3R, BROOKLYN, NY 11237-5310
(925) 917-0964
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
311622
NY
Other
Enumeration date
05/14/2018
Last updated
01/28/2025
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