Provider Demographics
NPI:1265852495
Name:OWUSU, BELINDA
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:OWUSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 DEKRUIF PLACE
Mailing Address - Street 2:APT#20C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2319
Mailing Address - Country:US
Mailing Address - Phone:347-602-7113
Mailing Address - Fax:
Practice Address - Street 1:120 DEKRUIF PLACE
Practice Address - Street 2:20C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2319
Practice Address - Country:US
Practice Address - Phone:347-602-7113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY670084163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse