NPI 1023596699

Henry O Edobor

Practitioner Child Mental Illness Respite Care Jamaica, NY

Practice location

Address: 14927 Jamaica Ave STE 5, Jamaica, NY 11435-4078
Phone: (718) 880-1974
Fax: (718) 880-1974

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X

Other Respite Care providers in New York →

Registry record

NPI: 1023596699
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2018
Record last updated: 5 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.