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NPI Code Detail

MEDICARE: IGBA MOSES ONOJA

MEDICARE:   IGBA MOSES ONOJA
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
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse995520NY

General Provider Information

NPI Number : 1396608212
Entity Type Code : Individual
Provider Name (Legal Business Name) : IGBA MOSES ONOJA
Provider Business Mailing Address
First Line : 1300 WATERS PL
Second Line :
City : BRONX
State : NY
Zip : 10461-2714
Country : US
Telephone Number : 718-239-3600
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WATERS PL
Second Line :
City : BRONX
State : NY
Zip : 10461-2714
Country : US
Telephone Number : 718-239-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/29/2025

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