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Search › New York › 335E00000X

Abidemi Omoyefa

NPI 1497445068 · on the registry since 2023 · sole proprietor

Practice

Address
1324 Forest Ave Ste 104
Staten Island, NY 10302
Phone
(347) 791-9818
Organisation at this address
Bidiana Extensions Llc
Mountainside Diversified
Staten Island Lithotripsy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
335E00000X
335E00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York