Osayomwanbo Aghatise
Registered Nurse, Psych/Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1992344352
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1992344352
- Entity type
- Individual (NPI-1)
- Name
- Osayomwanbo Aghatise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 5972541 | NY | Yes |
Practice location
600 E 125th StNew York, NY 10035-6000
Phone 646-672-6800
Mailing address
4128 Baychester AveBronx, NY 10466-2122
Phone 718-450-5900
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