Individual
DR. NDUBUEZE CLEMENT JOB OKEREKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D; M.P.H.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9415
(718) 960-9414
Mailing address
8-61 FOREST ST, FAIR LAWN, NJ 07410-1509
(201) 703-3713
(201) 703-3713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
222948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204300
—
NY
01
—
222948
LICENCE
NY
01
—
292407A
MAGNACARE PROVIDER
NY
01
—
48612P
HIP PROVIDER
NY
01
—
572E51
EMPIRE BC/BS PROVIDER
NY
01
—
7936493
AETNA PROVIDER
NY
01
—
9522538
CIGNA PROVIDER
NY
Enumeration date
02/28/2006
Last updated
03/07/2023
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