Organization
DR. DOROTHY NENE OGUNDU, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY N OGUNDU M.D (PRESIDENT)
(718) 776-9699
Entity
Organization
Contact information
Practice address
11455 FARMERS BLVD, 1ST FLOOR, SAINT ALBANS, NY 11412-2740
(718) 776-9699
Mailing address
11455 FARMERS BLVD, 1ST FLOOR, SAINT ALBANS, NY 11412-2740
(718) 776-9699
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
167797-1
NY
261QM2500X
Medical Specialty Clinic/Center
167797-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01108070
—
NY
Enumeration date
07/24/2007
Last updated
07/24/2007
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