Individual
MR. OBOT ASUQUO OBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
20 REED ST, LOCKPORT, NY 14094-3901
(716) 439-6375
(716) 439-6375
Mailing address
20 REED ST, LOCKPORT, NY 14094-3901
(716) 439-6375
(716) 439-6375
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
22603954
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401817
NY
Other
Enumeration date
05/21/2010
Last updated
02/28/2015
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