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Individual

MR. OKECHUKWU SAMUEL ECHEZONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8264 164TH STREET, 1B-02, JAMAICA, NY 11432
(718) 883-3070
(718) 883-6115
Mailing address
82-64 164TH STREET, 1B-02, JAMAICA, NY 11432
(718) 883-3070
(718) 883-6115

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
266238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
10/31/2006
Last updated
01/15/2016
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