Individual
AGEZI IGBOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 COUNTY RD, ELMIRA, NY 14903
(607) 796-5900
Mailing address
3165 CAPRIOLE DR NE, MARIETTA, GA 30062-0300
(919) 630-4147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348029
NY
Other
Enumeration date
05/21/2021
Last updated
03/30/2023
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