MEDICARE: EDITH OLUCHI OGBENNA FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F335417-1	NY

General Provider Information

NPI Number	:	1336385095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDITH OLUCHI OGBENNA FNP

Provider Business Mailing Address
First Line	:	22548 111TH AVE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11429-2803
Country	:	US
Telephone Number	:	646-270-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 VERNON BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-5121
Country	:	US
Telephone Number	:	718-726-8484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2008
Last Update Date	:	12/31/2008

Similar Medicare Providers

1720944044 — MARGARET BERNSTEIN
Practice Location Address:

3411 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 646-505-2003
Practice Fax:

1407712698 — SHELBI DALE FERBER LCSW
Practice Location Address:

3411 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 646-505-2003
Practice Fax:

1790844520 — PHOENIX HOUSE FOUNDATION
Practice Location Address:

3411 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 718-726-8484
Practice Fax:

1528215720 — MS. ASHLEY MARY MCILHENNY NP
Practice Location Address:

3425 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 917-864-1252
Practice Fax:

1376831966 — TAE AN CHOI N.P.
Practice Location Address:

3425 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 631-979-0922
Practice Fax:

1447591722 — MR. STEVEN BRYANT HOLLIS CASAC
Practice Location Address:

3425 VERNON BLVD
LONG ISLAND CITY, NY
11106-5121

Practice Phone: 212-831-1555
Practice Fax:

Directions to “ EDITH OLUCHI OGBENNA FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.