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NPI Code Detail

MEDICARE: DR. SARAH MUSU ONYENWE NP

MEDICARE: DR. SARAH MUSU ONYENWE 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
1163W00000XRegistered Nurse598590NY
2363LF0000XFamily Nurse Practitioner337745NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184986176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH MUSU ONYENWE NP
Provider Business Mailing Address
First Line : 260 ARDEN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1229
Country : US
Telephone Number : 718-979-2828
Fax Number :
Provider Business Practice Location Address
First Line : 260 ARDEN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1229
Country : US
Telephone Number : 718-966-5509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 03/08/2022

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