Provider Demographics
NPI:1730627225
Name:OXMANN, SAMED N (LPN)
Entity type:Individual
Prefix:
First Name:SAMED
Middle Name:N
Last Name:OXMANN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:SAMED
Other - Middle Name:
Other - Last Name:ABUBAKARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1075 GERARD AVE
Mailing Address - Street 2:122A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452
Mailing Address - Country:US
Mailing Address - Phone:646-404-2447
Mailing Address - Fax:
Practice Address - Street 1:1075 GERARD AVE
Practice Address - Street 2:122A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452
Practice Address - Country:US
Practice Address - Phone:646-404-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326980164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse