Individual provider · Type 1 NPI
Abidemi Omoyefa
Prosthetic/Orthotic Supplier · Staten Island, NY
Practice location
1324 Forest Ave Ste 104
Staten Island, NY 10302-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 510765 (NY) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
About NPI 1497445068
Abidemi Omoyefa's National Provider Identifier is 1497445068, issued on May 8, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Staten Island, NY. The record was last updated on May 8, 2023.