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Organization

HEALTHWISE MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIC EMEKA ONYEMA M.D. (PRESIDENT)
(718) 651-0601
Entity
Organization

Contact information

Practice address
3324 77TH ST, SUITE 2C, JACKSON HEIGHTS, NY 11372-1219
(718) 651-0601
(718) 651-0611
Mailing address
3324 77TH ST, SUITE 2C, JACKSON HEIGHTS, NY 11372-1219
(718) 651-0601
(718) 651-0611

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01624244
NY
Enumeration date
05/05/2008
Last updated
05/05/2008
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