Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 160122 | NY |
NPI | 1013927466 |
---|---|
Provider Name | William Chukwukeziri Onyebeke |
First Address | Bay Shore, NY 11706-6924 |
Second Address | Bay Shore, NY 11706-6924 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01102689 | (05) | NY |
E40736 | (02) | NY |