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CHIDUBEM ILOABACHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20415 45TH DR, BAYSIDE, NY 11361-3114
(917) 991-3860
Mailing address
20415 45TH DR, BAYSIDE, NY 11361-3114
(917) 991-3860

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
285542
NY

Other

Enumeration date
04/06/2012
Last updated
12/08/2016
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