MEDICARE: CHINENYE OZOUDE CHES

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1326722521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINENYE OZOUDE CHES

Provider Business Mailing Address
First Line	:	4360 DOUGLASTON PKWY APT 215
Second Line	:
City	:	DOUGLASTON
State	:	NY
Zip	:	11363-1878
Country	:	US
Telephone Number	:	929-322-5883
Fax Number	:

Provider Business Practice Location Address
First Line	:	19550 JAMAICA AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2664
Country	:	US
Telephone Number	:	781-776-9899
Fax Number	:

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

Provider Enumeration Date	:	06/09/2023
Last Update Date	:	06/09/2023

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Directions to “ CHINENYE OZOUDE CHES” Practice Location

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