Provider Demographics
NPI:1013619246
Name:OLIVER, NNEAMAKA OBIOZOR EMEAGWALI (DPM)
Entity Type:Individual
Prefix:DR
First Name:NNEAMAKA
Middle Name:OBIOZOR EMEAGWALI
Last Name:OLIVER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 EAST 77TH STREET
Mailing Address - Street 2:11 BLACK HALL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:212-434-3284
Mailing Address - Fax:
Practice Address - Street 1:130 EAST 77TH STREET
Practice Address - Street 2:11 BLACK HALL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-434-3284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program