Organization
OBOSA MEDICAL SERVICES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS O AGBONKPOLO M.D (OWNER)
(914) 530-2323
Entity
Organization
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
208VP0014X
Interventional Pain Medicine Physician
Primary
193487
NY
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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