Individual
FERDINAND A OFODILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4048 JUNCTION BLVD # 1FL, CORONA, NY 11368-2122
(718) 651-2843
(718) 651-2846
Mailing address
4048 JUNCTION BLVD # 1FL, CORONA, NY 11368-2122
(718) 651-2843
(718) 651-2846
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
109189-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700512
GHI
NY
01
—
109189
HIP
NY
01
—
7918448
AETNA
NY
05
—
B00214
—
NY
01
—
P402322
OXFORD
NY
Enumeration date
08/31/2006
Last updated
07/09/2007
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