Individual
CHIEKO MUNNIE OI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 758-4419
(631) 758-0024
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 758-4419
(631) 758-0024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223023
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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