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NPI Code Detail

MEDICARE: AZUKA ANYOKU MD

MEDICARE: AZUKA ANYOKU MD
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
1207R00000XInternal Medicine Physician212122NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386747681
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZUKA ANYOKU MD
Provider Business Mailing Address
First Line : 19 STEELE HILL RD
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1415
Country : US
Telephone Number : 516-435-5235
Fax Number : 718-455-0999
Provider Business Practice Location Address
First Line : 1420 BUSHWICK AVE
Second Line : STE 154
City : BROOKLYN
State : NY
Zip : 11207-1422
Country : US
Telephone Number : 718-455-3036
Fax Number : 718-455-0999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 02/19/2021

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Directions to “ AZUKA ANYOKU MD” Practice Location

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