Individual
OSAHON UKPONMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 CENTRAL PARK AVE, SUITE 3P, YONKERS, NY 10710-4905
(914) 779-0141
(914) 779-0144
Mailing address
1730 CENTRAL PARK AVE, SUITE 3P, YONKERS, NY 10710-4905
(914) 779-0141
(914) 779-0144
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
173320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256220
—
NY
Enumeration date
04/25/2006
Last updated
03/05/2008
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