Chinazor Iwuaba, MD | |
1650 Grand Concourse, Bronx, NY 10457-7679 | |
(718) 992-7669 | |
Not Available |
Full Name | Chinazor Iwuaba |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1650 Grand Concourse, Bronx, 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 |
---|---|---|---|
1588291058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 324351 (New York) | Secondary |
208M00000X | Hospitalist | 324351 (New York) | Primary |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330 |
Mailing Address | Practice Location Address |
---|---|
Chinazor Iwuaba, MD 1 Gustave L Levy Pl # 1118, New York, NY 10029-6504 Ph: () - | Chinazor Iwuaba, MD 1650 Grand Concourse, Bronx, NY 10457-7679 Ph: (718) 992-7669 |
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