Individual
DR. AUGUSTINE T AKALONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 E 233RD ST, BRONX, NY 10466-2801
(718) 882-6388
(718) 882-6396
Mailing address
653 E 233RD ST, BRONX, NY 10466-2801
(718) 882-6388
(718) 882-6396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210150
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01882993
—
NY
01
—
210150
LIC. #
NY
Enumeration date
12/28/2006
Last updated
10/16/2020
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