Individual
GLORIA IJEOMA IHENACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
505 LIBERTY AVE, JERSEY CITY, NJ 07307-4021
(551) 358-9459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236910
NY
207R00000X
Internal Medicine Physician
—
NJ
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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