Organization
WOODHLL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN OPOKU M.D. (DIRECTOR OF PEDIATRICS)
(718) 963-7956
Entity
Organization
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-7956
Mailing address
176 E 77TH ST, APT # 12K, NEW YORK, NY 10021-1908
(212) 988-3859
(212) 988-3859
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
179427
NY
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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