Individual
MR. EFOSA CHARLES EHIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 UNIVERSITY AVE, APT 3J, BRONX, NY 10452-4260
(917) 345-0521
Mailing address
1084 LIBERTY AVE, UNION, NJ 07083-4836
(917) 345-0521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
589213-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15206000
NJ
Other
Enumeration date
09/19/2008
Last updated
01/04/2025
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