Organization
OBI N NWASOKWA, MD, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBI N NWASOKWA MD (PHYSICIAN)
(718) 479-7808
Entity
Organization
Contact information
Practice address
19719 HILLSIDE AVE, HOLLIS, NY 11423-2126
(718) 479-7808
(718) 479-7491
Mailing address
12 LINDEN BLVD, GREAT NECK, NY 11021-1142
(718) 479-7808
(718) 479-7491
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
169721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01045743
—
NY
Enumeration date
03/07/2007
Last updated
08/22/2020
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