Individual
DR. OVUNDAH EDWIN OKENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 SOUTH PERRY STREET, JOHNSTOWN, NY 12095-0000
(518) 736-1500
(518) 762-8194
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078-0100
(518) 775-4205
(518) 775-4225
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
211429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971815
—
NY
01
—
3043440
MVP HEALTH PLAN
NY
Enumeration date
11/15/2006
Last updated
02/10/2011
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