Individual provider · Type 1 NPI

Bassey Ulo Enyenihi

Family Nurse Practitioner · Manorville, NY

NPI number 1093311409 Active

Practice location

287 Wading River Road, Suite 8
Manorville, NY 11949-1194

Call (631) 716-5410 Map

Mailing address

17 Birchgrove Dr
Central Islip, NY 11722-1904

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF343092-1 (NY)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1093311409

Bassey Ulo Enyenihi's National Provider Identifier is 1093311409, issued on Dec 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manorville, NY. The record was last updated on Dec 10, 2020.