Ifeanyi O Anyene

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hicksville, NY

NPI 1508449786 · NPPES record last updated May 4, 2021

Key facts

NPI
1508449786
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone
(631) 951-4430
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Mailing address

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Other providers in Hicksville, NY

All providers in Hicksville, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.