Individual
MR. ONYEDIKACHUKWU K MOMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
548 THRONGS NECK EXPRESSWAY, BRONX, NY 10465
(631) 875-4169
(866) 644-0894
Mailing address
548 THRONGS NECK EXPRESSWAY, BRONX, NY 10465
(631) 875-4169
(866) 644-0894
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
122219
NY
363AS0400X
Surgical Physician Assistant
Primary
MA056764
PA
Other
Enumeration date
03/07/2014
Last updated
07/14/2023
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