Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OLUMIDE ISAAC FAMOJURO, RN
ActiveCertified Nurse Anesthetist (CRNA) · FREEPORT, NY
Registration Details
- NPI Number
- 1972060283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2019 (7.1625888056259 yrs)
- Last Updated
- Jan 15, 2021
- Licenses
-
661135 (NY)133988 (NY)
Practice Information
- Address
-
83 VAN BUREN STFREEPORT, NY, 115206226Browse NY providers · Browse ZIP 11520
- Phone
- 3478379177
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in FREEPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN ASSIFUAH | CRNA | 1194080663 |
| KRISTEN FLAHERTY | — | 1912311366 |
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.