Individual
IHEANYICHUKWU AJA-ONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 N MAIN ST, FREEPORT, NY 11520-2218
(516) 623-5076
(516) 623-5076
Mailing address
PO BOX 37216, ELMONT, NY 11003-7216
(516) 623-5076
(516) 623-0312
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
203413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956665
—
NY
Enumeration date
10/20/2005
Last updated
01/05/2021
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