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Abidemi Omoyefa
Prosthetic/Orthotic Supplier in Staten Island, New York
NPI 1497445068

Abidemi Omoyefa is a Prosthetic/Orthotic Supplier based in Staten Island, NY. Abidemi Omoyefa practices in Staten Island, NY. The NPI Number for Abidemi Omoyefa is 1497445068 and holds a License No. 510765 (New York).

The current practice location address for Abidemi Omoyefa is 1324 Forest Ave Ste 104, Staten Island, NY and can be reached out via phone at 347-791-9818.

Location: 1324 Forest Ave Ste 104, Staten Island, NY, 10302-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497445068
Provider Name
Abidemi Omoyefa
Credential
Provider Entity Type
Individual
Gender
Female
Address
1324 Forest Ave Ste 104, Staten Island, NY, 10302-2044
Phone Number
347-791-9818
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1324 Forest Ave Ste 104
City
Staten Island
State
New York
Zip
10302-2044
Phone Number
347-791-9818
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Forest Ave Ste 104
City
Staten Island
State
New York
Zip
10302-2044
Phone Number
347-791-9818
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
510765 (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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