Organization
CHINYERE OFONAGORO PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINYERE OFONAGORO M.D. (PRESIDENT)
(914) 668-3950
Entity
Organization
Contact information
Practice address
22 W 1ST ST, SUITE 314, MOUNT VERNON, NY 10550-3000
(914) 668-3950
(914) 668-3950
Mailing address
22 W 1ST ST, SUITE 314, MOUNT VERNON, NY 10550-3000
(914) 668-3950
(914) 668-3950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922123
—
NY
Enumeration date
03/20/2007
Last updated
08/22/2020
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