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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES OSAKIDUWA OMOZUWA SR.

Active Sole Proprietor

MR. CHARLES OSAKIDUWA OMOZUWA SR. is a Licensed Vocational Nurse healthcare provider located in FAR ROCKAWAY, New York. NPI 1467316208 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · FAR ROCKAWAY, NY

Registration Details

NPI Number
1467316208
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2025 (0.48109372588632 yrs)
Last Updated
Dec 15, 2025
License
337790 (NY)
Sole Proprietor
Yes

Practice Information

Address
436 BEACH 36TH ST APT 3
FAR ROCKAWAY, NY, 116911507
Browse NY providers · Browse ZIP 11691
Phone
3479721288
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in FAR ROCKAWAY, NY

Name Credential NPI
PAULINE KRISTIN MCPHERSON LPN 1356823470
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.