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Individual

DR. PATRICK IKEMEFUNA OKOLO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
800 CARTER ST FL 2, ROCHESTER, NY 14621
(585) 922-4136
(585) 922-5761
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4136

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
286049
NY
207RG0100X
Gastroenterology Physician
D0046334
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162371100
MD
Enumeration date
07/19/2006
Last updated
01/12/2023
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