Individual
DR. ROSELINE NGOZI IHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-3912
Mailing address
90 ROSEDALE ROAD, VALLEY STREAM, NY 11581
(516) 374-3141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231060
NY
275N00000X
Medicare Defined Swing Bed Hospital Unit
231060
NY
Other
Enumeration date
08/28/2007
Last updated
08/06/2018
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