Individual
FRIDAY OKONADO AKATUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9131 175TH ST, JAMAICA, NY 11432-5517
(718) 883-7800
Mailing address
9131 175TH ST, JAMAICA, NY 11432-5517
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P14236
NY
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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