Individual
MONIFI A OSMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F308450-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308450
NY
Other
Enumeration date
11/03/2017
Last updated
06/13/2023
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