Individual
IFEOMA M OKORONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 E 56TH ST, NEW YORK, NY 10022-4136
(212) 935-9350
(212) 753-9856
Mailing address
300 E 56TH ST, NEW YORK, NY 10022-4136
(212) 935-9350
(212) 753-9856
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
201367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01989073
—
NY
Enumeration date
10/10/2006
Last updated
11/19/2020
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