Individual
DR. UCHENNA CLETUS ACHOLONU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 3A, NEW YORK, NY 10025-1737
(212) 636-1130
(212) 636-1133
Mailing address
PO BOX 95000-2243, PHILADELPHIA, PA 19195-2243
(516) 338-5300
(516) 338-1075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
245177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02925006
—
NY
01
—
245177-1
NYS LICENSE
NY
Enumeration date
08/05/2007
Last updated
03/07/2023
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