Individual
DIANE OUMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 CONVENT AVE, NEW YORK, NY 10031-3625
(917) 460-5367
Mailing address
441 CONVENT AVE, NEW YORK, NY 10031-3625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U7253
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2020
Last updated
10/17/2023
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