Organization
FAIRCHILD PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDI OGBONNA DPM (PRESIDENT)
(732) 470-8822
Entity
Organization
Contact information
Practice address
45 W 132ND ST, 5T, NEW YORK, NY 10037-3101
(732) 470-8822
Mailing address
45 W 132ND ST, 5T, NEW YORK, NY 10037-3101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006412
NY
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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