Chima O Chionuma, MD | |
7711 Oswego Road, Liverpool, NY 13090 | |
(315) 622-3155 | |
(315) 652-1493 |
Full Name | Chima O Chionuma |
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Gender | Female |
Speciality | Pediatrics |
Location | 7711 Oswego Road, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669437687 | NPI | - | NPPES |
01426200 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1901291 (New York) | Primary |
Entity Name | Syracuse Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443 |
Mailing Address | Practice Location Address |
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Chima O Chionuma, MD 7711 Oswego Road, Liverpool, NY 13090 Ph: (315) 622-3155 | Chima O Chionuma, MD 7711 Oswego Road, Liverpool, NY 13090 Ph: (315) 622-3155 |
Meghan Dambach, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 | |
Brenda R Van Fossen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 Fax: 315-291-0065 | |
Nicole Autumn Mirjafari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd Ste 1b, Liverpool, NY 13088 Phone: 239-343-9888 Fax: 239-303-0714 | |
Mrs. Maritza Alvarado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Mrs. Angelle M Cresswell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Garnoch Ct, Liverpool, NY 13090 Phone: 315-457-0872 | |
Dr. Mary V Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Fozia Bakshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-379-4900 |