Individual
GODFREY U MBONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
914A COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 749-2482
(212) 749-2484
Mailing address
914A COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 749-2482
(212) 749-2484
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
226508-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358221
—
NY
Enumeration date
08/18/2006
Last updated
07/08/2007
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