Provider Demographics
NPI:1962090373
Name:OGBENI, CHARLINE (MSED, IBCLC, DOULA)
Entity type:Individual
Prefix:
First Name:CHARLINE
Middle Name:
Last Name:OGBENI
Suffix:
Gender:F
Credentials:MSED, IBCLC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17719 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-1929
Mailing Address - Country:US
Mailing Address - Phone:347-692-0488
Mailing Address - Fax:
Practice Address - Street 1:17719 120TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1929
Practice Address - Country:US
Practice Address - Phone:347-692-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No174N00000XOther Service ProvidersLactation Consultant, Non-RN