Individual
OMOYEMWEN SUSAN ODIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
25721 145TH AVE, ROSEDALE, NY 11422-3314
(347) 440-7735
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
877718
NY
Other
Enumeration date
08/02/2024
Last updated
08/09/2024
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