Individual
DR. IZIEGBE FENEMIGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(646) 465-2937
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101281360
VA
Other
Enumeration date
07/20/2021
Last updated
07/17/2024
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