Individual
DR. KALU NDU BONIFACE AGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 LENOX AVE, HARLEM HOSPITAL, NEW YORK, NY 10037-2206
(212) 939-1000
Mailing address
37 WOODFIELD RD, POMONA, NY 10970-2216
(917) 744-0371
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
237607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237607
NEW YORK STATE LICENSE
NY
Enumeration date
07/26/2006
Last updated
03/26/2015
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