Individual
IKECHUKWU ONWEAGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(646) 483-1436
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
597553
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310007
NY
Other
Enumeration date
09/13/2020
Last updated
12/12/2025
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