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Bassey Ulo Enyenihi
Family Nurse Practitioner in Manorville, New York
NPI 1093311409

Bassey Ulo Enyenihi is a Family Nurse Practitioner based in Central Islip, NY and is specialized in Family. Bassey Ulo Enyenihi practices in Manorville, NY. The NPI Number for Bassey Ulo Enyenihi is 1093311409 and holds a License No. F343092-1 (New York).

The current practice location address for Bassey Ulo Enyenihi is 287 Wading River Road, Manorville, NY and can be reached out via phone at 631-716-5410.

Location: 287 Wading River Road, Manorville, NY, 11722-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093311409
Provider Name
Bassey Ulo Enyenihi
Credential
Provider Entity Type
Individual
Gender
Male
Address
287 Wading River Road, Manorville, NY, 11722-1904
Phone Number
631-716-5410
Fax Number
Provider Enumeration Date
12/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 Wading River Road
City
Manorville
State
New York
Zip
11949-1194
Phone Number
631-716-5410
Fax Number
person
Provider Business Mailing Address Details
Address
287 Wading River Road
City
Manorville
State
New York
Zip
11949-1194
Phone Number
631-716-5410
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F343092-1 (New York)
Definition
Definition to come...
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