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

Mr. Charles Osakiduwa Omozuwa Sr.

Individual provider Licensed Vocational Nurse · NPI 1467316208

Mr. Charles Osakiduwa Omozuwa Sr. is a Licensed Vocational Nurse in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

436 Beach 36th St Apt 3
Far Rockaway, NY 11691-1507
Phone: (347) 972-1288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 337790 (NY)

Record details

NPI number1467316208
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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