Individual
DR. FRANCIS O. AGBONKPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 STEVENS AVE, MOUNT VERNON, NY 10550-2515
(914) 530-2323
(914) 530-2320
Mailing address
11 GOLDEN RD, MONTEBELLO, NY 10901-3220
(914) 530-2323
(914) 530-2320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
193784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193784
NY STATE LICENSE
NY
Enumeration date
09/06/2006
Last updated
04/12/2013
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