MEDICARE: GLADYS OZOUDE R.N.

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	164W00000X	Licensed Practical Nurse	301109	NY
2	163W00000X	Registered Nurse	654504	NY
3	363L00000X	Nurse Practitioner	342244	NY

General Provider Information

NPI Number	:	1205155090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLADYS OZOUDE R.N.

Provider Business Mailing Address
First Line	:	19550 JAMAICA AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2664
Country	:	US
Telephone Number	:	718-776-9899
Fax Number	:	718-776-5005

Provider Business Practice Location Address
First Line	:	19550 JAMAICA AVE STE B
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2664
Country	:	US
Telephone Number	:	347-545-2806
Fax Number	:	718-776-5005

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

Provider Enumeration Date	:	05/19/2010
Last Update Date	:	12/19/2025

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Directions to “ GLADYS OZOUDE R.N.” Practice Location

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