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1093311409
BASSEY ULO ENYENIHI
MANORVILLE, NY
NPI
1093311409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F343092-1)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
BASSEY ULO ENYENIHI
287 WADING RIVER ROAD SUITE 8
MANORVILLE, NY 11949-1194
Phone number: 631-716-5410
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Mailing Address
BASSEY ULO ENYENIHI
17 BIRCHGROVE DR
CENTRAL ISLIP, NY 11722-1904
Phone number: 516-983-0893
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