Individual
DR. MARY NNENNA NWOSUOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 LEXINGTON AVE FL 10, NEW YORK, NY 10016-6020
(212) 335-0034
Mailing address
205 LEXINGTON AVE FL 10, NEW YORK, NY 10016-6020
(212) 335-0034
(212) 202-4369
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA12172900
NJ
2084P0800X
Psychiatry Physician
Primary
313203
NY
Other
Enumeration date
04/14/2019
Last updated
03/28/2024
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