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Individual

CHISOM DOMINIC OKEZUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12 N 7TH AVE, MOUNT VERNON, NY 10550-2026
(914) 664-8000
Mailing address
11043 173RD ST, JAMAICA, NY 11433-3438
(347) 229-6353

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
339600
NY

Other

Enumeration date
04/08/2022
Last updated
10/03/2025
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