Individual
OSATO O URHIAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(000) 000-0000
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01087780A
IN
207L00000X
Anesthesiology Physician
Primary
309578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102690069
ANTHEM PTAN
IN
05
—
300071820
—
IN
Enumeration date
04/05/2017
Last updated
11/25/2024
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