Okonkwo, Amogechukwu N

Okonkwo, Amogechukwu N is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Okonkwo, Amogechukwu N can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3536
Fax: (315) 475-1448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238876 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 238876 New York

Profile Details

NPI number 1053378612
LBN Legal business name Okonkwo, Amogechukwu N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 25th, 2024 - about 5 months 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 1053378612 NPPES
New York MEDICAID 02745173

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