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NPI Code Detail

MEDICARE: CHINWE OBI NP

MEDICARE:   CHINWE  OBI  NP
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
1363LA2200XAdult Health Nurse PractitionerF308715NY

General Provider Information

NPI Number : 1841766250
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINWE OBI NP
Provider Business Mailing Address
First Line : 930 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10451-2705
Country : US
Telephone Number : 212-678-2676
Fax Number : 347-590-7330
Provider Business Practice Location Address
First Line : 930 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10451-2705
Country : US
Telephone Number : 212-678-2676
Fax Number : 347-590-7330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2018
Last Update Date : 10/23/2018

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Directions to “ CHINWE OBI NP” Practice Location

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