Anyoku, Obiora Olisaeloka
Anyoku, Obiora Olisaeloka is an sole proprietor health care provider with primary practice located at 20-08 Seagirt Blvd Alfamed Physician Pc, Far Rockaway NY 11691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anyoku, Obiora Olisaeloka can be contacted via phone (718) 868-4553.Contact Information
Primary practice address
20-08 Seagirt Blvd Alfamed Physician Pc
Far Rockaway NY 11691
Phone: (718) 868-4553
Fax: (718) 868-4831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210948 | New York |
Profile Details
NPI number | 1225093180 |
---|---|
LBN Legal business name | Anyoku, Obiora Olisaeloka |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2006 |
Last updated | Feb 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225093180 | NPPES |
New York | MEDICAID | 01952065 |
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