Individual
CHARLES OKEUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Mailing address
1061 E 105TH ST, BROOKLYN, NY 11236-3036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP54634
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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