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Organization

ALFAMED PHYSICIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OBIORA O ANYOKU MD (PRESIDENT MEDICAL DIRECTOR)
(718) 868-4553
Entity
Organization

Contact information

Practice address
20 08 SEAGIRT BLVD, ALFAMED PHYSICIAN PC, FAR ROCKAWAY, NY 11691
(718) 868-4553
(718) 868-4831
Mailing address
2008 SEAGIRT BLVD, ALFAMED PHYSICIAN PC, FAR ROCKAWAY, NY 11691
(718) 868-4553
(718) 868-4831

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134914
AETNA
Enumeration date
05/05/2006
Last updated
08/22/2020
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