Individual
MR. EMMANUEL OSZWA ODIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148-13 HILLSIDE AVE, 2ND FL BRIARWOOD, BRIARWOOD, NY 11435
(347) 238-1435
(347) 960-8403
Mailing address
148-13 HILLSIDE AVE, 2ND FL BRIARWOOD, BRIARWOOD, NY 11435
(347) 238-1435
(347) 960-8403
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475326855
—
NY
Enumeration date
08/02/2018
Last updated
08/02/2018
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