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
Fax: (718) 868-4831
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225093180 NPPES
New York MEDICAID 01952065

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