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Individual

DR. THOMAS AGHAHOWA IMAHIYEROBO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
177 FORT WASHINGTON AVE, MHB-7-313, NEW YORK, NY 10032-3733
(212) 305-3038
Mailing address
161 FORT WASHINGTON AVE, SUITE 511A, NEW YORK, NY 10032-3729
(212) 305-9612
(212) 305-9626

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
267233
NY

Other

Enumeration date
11/03/2008
Last updated
05/09/2015
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