Individual
EMMANUEL OPONDE MISODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251238
NY
208M00000X
Hospitalist Physician
251238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03076368
—
NY
Enumeration date
01/14/2009
Last updated
12/14/2022
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