Individual
DR. SAMUEL PATRICK KIGONGO-MWESEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5900
(718) 579-4620
Mailing address
18 DIANE DR, NEW CITY, NY 10956-3902
(845) 634-7375
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
179007
NY
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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