Individual provider · NPI-1

Victor Azubike Amobi, CRNP-PMH

Nurse Practitioner, Psych/Mental Health · New York, NY

NPI number1356532386

StatusActive

Last updated in NPPESNov 22, 2021

Details

NPI: 1356532386
Entity type: Individual (NPI-1)
Name: Victor Azubike Amobi
Credential: CRNP-PMH
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 6, 2007
Certification date: Nov 22, 2021
Last updated: Nov 22, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	402802	NY	Yes
163WP0808X	Registered Nurse, Psych/Mental Health	679575	CA
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	R178048	MD

Practice location

169 W 133rd St
New York, NY 10030-3301

Phone 646-762-4950 · Fax 646-762-4955

Mailing address

2929 Woodland Park Dr
Houston, TX 77082-2687

Phone 713-589-4122

Other practice locations

120 Sister Pierre Dr Ste 403
Towson, MD 21204-7536

Phone 410-823-6408 · Fax 443-279-0537

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