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Individual

MR. IKENNA EMEJURU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
553 E168 STR., BRONX, NY 10456
(347) 590-8111
Mailing address
553 E168 ST, BRONX, NY 10456

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
486319946
NY

Other

Enumeration date
02/25/2016
Last updated
02/12/2018
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