Individual
MARY ONYECHEFUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16022 110TH AVE, JAMAICA, NY 11433-3224
(347) 693-4804
Mailing address
16022 110TH AVE, JAMAICA, NY 11433-3224
(347) 693-4804
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
802664
NY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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