Individual
NGOZI IHENETU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 DORCHESTER AVE, SELKIRK, NY 12158-9764
(518) 506-8991
Mailing address
52 DORCHESTER AVE, SELKIRK, NY 12158-9764
(518) 506-8991
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
Primary
652249-1
NY
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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