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NPI Code Detail

MEDICARE: JOSEPHINE IMONGIRIE

MEDICARE:   JOSEPHINE  IMONGIRIE
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 NurseN24892-01NY

General Provider Information

NPI Number : 1801742754
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE IMONGIRIE
Provider Business Mailing Address
First Line : 14411 WELLER LN
Second Line :
City : ROSEDALE
State : NY
Zip : 11422-2533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14411 WELLER LN
Second Line :
City : ROSEDALE
State : NY
Zip : 11422-2533
Country : US
Telephone Number : 347-636-0342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ JOSEPHINE IMONGIRIE ” Practice Location

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