Omar Sherwood, LPN
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1730438896
StatusActive
Last updated in NPPESSep 5, 2012
Details
- NPI
- 1730438896
- Entity type
- Individual (NPI-1)
- Name
- Omar Sherwood
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2012
- Last updated
- Sep 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 307228 | NY | Yes |
Practice location
2054 Tillotson AveBronx, NY 10475-1560
Phone 718-671-2100
Mailing address
2054 Tillotson AveBronx, NY 10475-1560
Phone 718-671-2100
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