Individual
ANUKWARE KETOSUGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1143 NOSTRAND AVE, BROOKLYN, NY 11225-5532
(929) 790-6922
(718) 622-1367
Mailing address
PO BOX 5619, NEW YORK, NY 10087-5619
(929) 790-6922
(718) 622-1367
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
147545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01036039
—
NY
Enumeration date
07/19/2006
Last updated
04/30/2026
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