Individual
IFEANYI NWOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013944
NY
Other
Enumeration date
04/09/2010
Last updated
03/06/2025
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