Individual
NIKE ITOHAN KUBEYINJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
785 FARMINGTON AVENUE, WEST HARTFORD, CT 06119-1673
(860) 523-4100
(860) 523-1462
Mailing address
785 FARMINGTON AVENUE, WEST HARTFORD, CT 06119-1673
(860) 523-4100
(860) 523-1462
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD036800
DC
208000000X
Pediatrics Physician
272823
NY
208000000X
Pediatrics Physician
Primary
55255
CT
208000000X
Pediatrics Physician
ME108550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200300
—
FL
Enumeration date
10/03/2007
Last updated
01/28/2022
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