Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abidemi Omoyefa

Individual provider Prosthetic/Orthotic Supplier · NPI 1497445068

Abidemi Omoyefa is a Prosthetic/Orthotic Supplier in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1324 Forest Ave Ste 104
Staten Island, NY 10302-2044
Phone: (347) 791-9818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 510765 (NY)

Record details

NPI number1497445068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 6, 2023
Mailing address1324 Forest Ave Ste 104, Staten Island, NY 10302-2044

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