| NPI Details | |
|---|---|
| NPI | 1013260652 |
| Gender | Female |
| Enumeration Date | 10/19/2012 |
| Last Updated | 10/19/2012 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 14523 221ST ST SPRINGFIELD GARDENS NY, 11413-3458, US |
|
| Phone | (347) 206-5182 |
| Fax | |
| Business Location | |
|---|---|
| 14523 221ST ST SPRINGFIELD GARDENS NY, 11413-3458, US |
|
| Phone | (347) 206-5182 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 163W00000X |
| License State | New York |
| License Number | 661380 |
| Remove 1013260652 NPI Number | |
According to our database, Fendia Osirus NPI is 1013260652, taxonomy code is 163W00000X and license number is 661380, license state is located at New York. Fendia Osirus physically located at 14523 221st St, Springfield Gardens NY, 11413-3458. NPI Number Fendia Osirus has the Individual type.
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1013260652 NPI number is provided on an as is basis without warranty of any kind. 1013260652 is maintained by the National Plan & Provider Enumeration System. The contents of Fendia Osirus are for informational purposes only.
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