# ANUKWARE KETOSUGBO, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457629941
- **Authorized official:** ANUKWARE K KETOSUGBO MD (OWNER)
- **Authorized official phone:** (718) 622-1301

## Contact information

- **Practice address:** 20 PLAZA STEET EAST, BROOKLYN, NY 11238
- **Practice address phone:** (718) 622-1301
- **Practice address fax:** (718) 622-1367
- **Mailing address:** PO BOX 5619, NEW YORK, NY 10087-5619
- **Mailing address phone:** (718) 622-1301
- **Mailing address fax:** (718) 622-1367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 147545 | NY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 147545 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 07/15/2015