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Individual

DR. CHIEMEKA JOSEPH NWOKONKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 247-6810
(315) 589-9406
Mailing address
3388 RIDGE RD, WILLIAMSON, NY 14589-9352
(315) 589-9657
(315) 589-9406

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
196242
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000912017006
BCBS
NY
05
01485854
NY
01
P00092923
RRM LEGACY
NY
Enumeration date
06/20/2006
Last updated
05/21/2008
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