MEDICARE: DR. PETER AFAM ANYAKORA JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	186628	NY
2	207VE0102X	Reproductive Endocrinology Physician	186628	NY

General Provider Information

NPI Number	:	1376796235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER AFAM ANYAKORA JR. M.D.

Provider Business Mailing Address
First Line	:	8641 LEFFERTS BLVD
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2508
Country	:	US
Telephone Number	:	718-850-5858
Fax Number	:

Provider Business Practice Location Address
First Line	:	8641 LEFFERTS BLVD
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2508
Country	:	US
Telephone Number	:	718-850-5858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	10/23/2008

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