Provider Demographics
NPI:1831727494
Name:OWOEYE, BEATRICE OLUYEMISI
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:OLUYEMISI
Last Name:OWOEYE
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 1:11219 168TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-3917
Mailing Address - Country:US
Mailing Address - Phone:917-841-1483
Mailing Address - Fax:718-206-7230
Practice Address - Street 1:JAMAICA MEDICAL CENTER
Practice Address - Street 2:8900 VAN WYCK EXPRESS
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-206-7208
Practice Address - Fax:718-206-7230
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker