Nkanga, Nkanga

Nkanga, Nkanga is an individual health care provider with primary practice located at 78 Cromwell Ave , Staten Island NY 10304-3933. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Nkanga, Nkanga can be contacted via phone (718) 351-3388.

Contact Information

Primary practice address
78 Cromwell Ave Staten Island NY 10304-3933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 192799 New York

Profile Details

NPI number 1679529937
LBN Legal business name Nkanga, Nkanga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1679529937 NPPES
New York MEDICAID 06152217

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