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Individual

AMOGECHUKWU N OKONKWO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3536
(315) 476-7921
(315) 475-1448
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3536

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
238876
NY
208M00000X
Hospitalist Physician
Primary
238876
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02745173
NY
Enumeration date
04/27/2006
Last updated
06/25/2024
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