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Contact Information

KOME S OSEGHALE, MD
305 MAIN STREET
SUITE 200
OGDENSBURG, NY13669
 Phone: 315-713-6770
 Fax: 877-902-6131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KOME S OSEGHALE · (Female)

NPI Number 1376855734
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2010
Last updated 01/08/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 272702
  • IN Medicaid 300118051
  • NY Medicaid 03760652
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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