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

ABIDEMI OMOYEFA

Active Sole Proprietor

ABIDEMI OMOYEFA is a Prosthetic/Orthotic Supplier healthcare provider located in STATEN ISLAND, New York. NPI 1497445068 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · STATEN ISLAND, NY

Registration Details

NPI Number
1497445068
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2023 (3.2942974293781 yrs)
Last Updated
May 8, 2023
License
510765 (NY)
Sole Proprietor
Yes

Practice Information

Address
1324 FOREST AVE STE 104
STATEN ISLAND, NY, 103022044
Browse NY providers · Browse ZIP 10302
Phone
3477919818
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
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.