Most Relevant Information
Provider Data
| NPI Number: | 1003402165 |
| Provider Name: | ELIZABETH OCHANYA ITODO |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 802976 |
Most Important Dates
| Enumeration Date: | 12/14/2020 |
| Last Updated: | 12/14/2020 |
Provider Practice Location
65 COTTAGE PL
STATEN ISLAND
NY
103021522
Practice Location Phone/Fax
| Phone: | 3473083949 |
| Fax: |
Provider Mailing Location
65 COTTAGE PL
STATEN ISLAND
NY
103021522
Provider Mailing Phone/Fax
| Phone: | 3473083949 |
| Fax: |