BASSEY ULO ENYENIHI

MANORVILLE, NY
NPI1093311409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F343092-1)
Enumeration Date2020-12-10
Last Update Date2020-12-10
Business Address
BASSEY ULO ENYENIHI
287 WADING RIVER ROAD SUITE 8
MANORVILLE, NY 11949-1194
Phone number: 631-716-5410
Mailing Address
BASSEY ULO ENYENIHI
17 BIRCHGROVE DR
CENTRAL ISLIP, NY 11722-1904
Phone number: 516-983-0893