Idemudia, Awele

Idemudia, Awele is an individual health care provider with primary practice located at 26 Dumont Ave , Staten Island NY 10305-1450. She recently has only one registered license in Nursing Service Providers / Infusion Therapy, which is considered as her primary health care specialty. Idemudia, Awele can be contacted via phone (718) 667-4282.

Contact Information

Primary practice address
26 Dumont Ave Staten Island NY 10305-1450
Phone: (718) 667-4282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X 564012 New York

Profile Details

NPI number 1770219826
LBN Legal business name Idemudia, Awele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770219826 NPPES
New Jersey Other I18210716553512 DRIVER'S LICENSE

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