IndividualActive
Charles Omozuwa
NPI 1467316208 · Licensed Vocational Nurse · Far Rockaway, NY
Provider details
- NPI number
- 1467316208
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 337790 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
436 Beach 36th St Apt 3
Far Rockaway, NY 11691-1507
Phone: (347) 972-1288
Approximate (ZIP-level) locationGet directions
Mailing address
436 Beach 36th St Apt 3
Far Rockaway, NY 11691-1507
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.