Individual
ANTONIETH ENOGHAYIN OSULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 RIVERDALE AVE, APT. A615, YONKERS, NY 10701-4604
(914) 258-3896
Mailing address
85 RIVERDALE AVE APT A615, YONKERS, NY 10701-4642
(914) 258-3896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
688806
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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