Individual
THEOPHINE ABAKPORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1295 BROADWAY, BROOKLYN, NY 11221-2973
(718) 682-3903
(718) 682-3904
Mailing address
11528 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1023
(877) 471-9091
(718) 682-3511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201140
NY
207R00000X
Internal Medicine Physician
201140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649398
—
NY
Enumeration date
03/30/2006
Last updated
06/20/2023
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