Individual
STELLA OSAGIE-OMOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13044 INWOOD ST, SOUTH OZONE PARK, NY 11436-2224
(718) 607-1977
Mailing address
13044 INWOOD ST, SOUTH OZONE PARK, NY 11436-2224
(718) 607-1977
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
637381
NY
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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