Provider Demographics
NPI:1811882723
Name:OYEMINA, BRIDGET OSAREMEN
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:OSAREMEN
Last Name:OYEMINA
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 1:12215 25TH RD APT 104
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1014
Mailing Address - Country:US
Mailing Address - Phone:646-804-3951
Mailing Address - Fax:
Practice Address - Street 1:12215 25TH RD APT 104
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1014
Practice Address - Country:US
Practice Address - Phone:646-804-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist