Individual
EMMANUEL O NKETIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7201
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102264
MI
207RC0000X
Cardiovascular Disease Physician
Primary
286203
NY
207UN0901X
Nuclear Cardiology Physician
286203
NY
Other
Enumeration date
03/23/2010
Last updated
11/27/2023
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