Individual
DUMO MARCUS OPUIYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 659-4000
(718) 659-1405
Mailing address
1317 E 88TH ST, BROOKLYN, NY 11236-5117
(917) 667-9933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP0808X
—
NY
Enumeration date
11/14/2014
Last updated
11/14/2014
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