Individual
DR. JEANJACQUES MBABUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 BROADWAY STE 1004, NEW YORK, NY 10006-2550
(646) 599-0585
Mailing address
16 OLIVER AVE, WHITE PLAINS, NY 10603-2019
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
263896
NY
Other
Enumeration date
01/09/2012
Last updated
05/18/2021
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