Healthcare Provider Details

I. General information

NPI: 1013895754
Provider Name (Legal Business Name): ROSEMARY OTERE OGAGA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSEMARY OTERE EMEFIENA RN

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DAVENPORT AVE APT 2F
NEW ROCHELLE NY
10805-3434
US

IV. Provider business mailing address

7 DAVENPORT AVE APT 2F
NEW ROCHELLE NY
10805-3434
US

V. Phone/Fax

Practice location:
  • Phone: 914-522-3025
  • Fax:
Mailing address:
  • Phone: 914-522-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF355309-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: