Aisosa Omorogbe
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1164056933
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1164056933
- Entity type
- Individual (NPI-1)
- Name
- Aisosa Omorogbe
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2020
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Gustave L Levy PlNew York, NY 10029-6504
Phone 708-262-3099
Mailing address
1 Gustave L Levy PlNew York, NY 10029-6504
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